Jerry Canterbury Case Study

In their article, “The Concept of Informed Consent,” Faden and Beauchamp give two varying definitions of informed consent, namely sense one and sense two. Sense one is defined as autonomous authorization, meaning that the patient or subject agrees and then gives authority to move forward with a proposal (Vaughn 191). The authors give four conditions that have to be met for informed consent to be recognized: the patient has to understand the information presented to her, there should be no manipulation or coercion, and she has to intentionally give her authorization (Vaughn 191). Faden and Beauchamp also note that the fourth condition, where the patient gives her authorization, is pivotal in this sense since it differentiates autonomous authorization

Informed consent is the basis for all legal and moral aspects of a patient’s autonomy. Implied consent is when you and your physician interact in which the consent is assumed, such as in a physical exam by your doctor. Written consent is a more extensive form in which it mostly applies when there is testing or experiments involved over a period of time. The long process is making sure the patient properly understands the risk and benefits that could possible happen during and after the treatment. As a physician, he must respect the patient’s autonomy. For a patient to be an autonomous agent, he must have legitimate moral values. The patient has all the rights to his medical health and conditions that arise. When considering informed

The Doctor and Patient relationship aspect of Medicine has changed drastically in the last twenty years. It has evolved from paternalism (the doctor makes the decision for the patient) to shared decision making where the patient is considered an equal partner in his/her own health related decisions. Informed consent is the cornerstone for this view. When a patient or a research subject makes an autonomous decision after understanding, the risks and benefits involved with the decision is Informed consent. Complete Informed consent covers the following components: competency, disclosure, comprehension and voluntary. Competency refers to the requirement for the individual to be of legal age and be mentally competent to understand the process.

. The most important goal of informed consent is that the patient has an opportunity to be an informed participant in her

Every patient has a right to decide on their own course of treatment and freely consent to that treatment. In order to make an educated decision they must be provided with the proper information to make an informed choice (Opinion 8.08 - Informed Consent, 2006). It is the physician’s legal and ethical obligation to provide this information when making their recommendation on treatment. The choices given must be in accordance with good medical practice (Opinion 8.08 - Informed Consent, 2006). The informed consent is the legal policy, either written or verbal, that gives full disclosure of all the information including potential risks that is applicable to the patient’s condition and treatment being offered (Kazmier, 2008).

A physician who does not provide this to his/her patient may be liable for battery or negligence in the light of the doctrine of informed consent (Thorton 2000). As patients are entitled to this information, physicians possess a duty to disclose regarding risks and hazards, while performing the procedure or treatment as agreed with the patient. If the doctrine of informed consent did not exist, physicians would be able to perform medical treatments, procedures, without a patient’s consent or full knowledge of the perils of healthcare. In addition, healthcare demands trust which is necessary between patients and physicians in order to deliver beneficial health outcomes. If the doctrine of informed consent is not performed between the patient and physician, then trust diminishes resulting in poor health outcomes (Roach 2014). An example of deliberate harm due to uninformed consent exist in the research conducted in the Tuskegee experiment, where treatment was withheld and subjects were not informed of their illness or available treatments (CDC 2013) resulting in poor health and

It is the responsibility of the physician to explain the risks and benefits and to answer any questions that the patient may have. A patient must be competent to sign the informed consent or the informed consent will not be valid. If the patient is not able to consent, a power of attorney may consent for the patient (Bashore, 2012).

Informed Consent allows a doctor to render treatment to a patient. By signing the document states that the patient understands the circumstances and what is required. This paper is to analyze the consent and non-consent, and ethical issues that can become a problem.

I contacted Sue at Van Duyn Center regarding Jerry Mansir and she isn’t sure who you spoke to, but the member is homeless and doesn’t have a wife. The social worker you can connect with to schedule the NH initial is Alisha Ralspon phone number is 315-449-6121. If it’s not too much trouble can you notate in CareOne or email me the nurse name, date and time of the visit for both Mansir and Cassell.

Fundamental to healthcare shared decision-making is the doctrine of informed consent. This shared decision-making is one of the most advocated methodologies in the healthcare treatment decision. Shared decision-making is a method in which the doctor communicates to his patient all the sufficient risk and benefit information on all types of medical treatments and alternative medical treatments. The patient then shares with his doctor all his personal information that might make a particular medical treatment (or a side-effect from it) more (or less) bearable than other medical treatments. Then, the doctor and his patient in tandem use all the information to arrive at a joint decision on the medical treatment. In order to be actively involved in their healthcare treatment decisions, patients must receive sufficient information from their doctors. In this particular role, doctors play the part of teachers or educators for their patients.

The disclosure is made to medical personnel in a medical emergency or to a qualified personnel for research, audit, or program evaluation.

Consent in the health care circles is a where a health care professional explains to the patient their current medical condition, provides the available recommended treatment for the problem and the risks involved and then the patient signs the form indicating his or her consent for the procedure. However consent to a medical procedure is not enough, consent must be informed whereby the health care professional fully discloses the facts behind the medical intervention to the patient. Patients normally encounter the informed consent when they need a surgical or medical intervention. However, informed consent has less to do with the patient signing the form. The signed form is used as documentation for keeping record but it’s not informed

Informed Consent is obtained before a surgical procedure and in simple terms it refers to the permission granted by the patient or his guardians to the medical team to conduct a surgery. This consent is important because surgical procedures can often lead to complications and they do involve certain risks, therefore the patient must have complete knowledge of all that he might encounter during or after the procedure. The surgeon or physician who is responsible for conducting the operation usually obtains the consent but all healthcare providers involved in the process also play important roles in this connection. The role of a nurse in the process of informed consent is largely dependent on the nature of the treatment and the laws of the organizations. Kay Ely-Pierce, MA, RN, JD (1999) writes, "The nurse's part in the process of informed consent is variable. If the consent is being sought for a nursing procedure or treatment, it is the nurse's responsibility to provide the material information, assess the patient's decision capacity (ability to understand the information and make a rational decision based thereon), and execute the appropriate documentation of informed consent or refusal." (Family and Community Health, pg. 78)

Complete disclosure is essential because without it a patient much like Lacks cannot make an informed decision or provide informed consent.

“Respect for human beings involves giving due scope to peoples capacity to make their own decisions. In the research context, this normally requires that participation be the result of a choice made by the participants” (NHMR, 2007, p.3).  Freegard 2012 (p.60), states that “respecting the rights of others,” includes a responsibility for Health professionals “to let others know about their rights” and that this forms the basis of an informed consent.