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The Case Of Chester V

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Similarly to Bolitho’s reasoning, the case of Chester v Ashfar represented a substantial change in judicial attitude on the subject of medical attitudes to warn or informed consent. It held that doctors owe a duty to warn of the all risks inherent in the cure for the patient before he can consent to a treatment, in order to promote the individual’s freedom to choose over options that affect their body, reducing, therefore, the chances of medical paternalism to take place . Although, it was not clear whether change would have had a broader effect. It appeared that the judges, however, were trying to persist with the application of the Bolam test as a standard for disclosure of medical risk, while trying to show respect for patient’s autonomy . This reasoning was subsequently applied in the case of Janet Birch , where the claimant sustained a catheter angiography (a quite invasive procedure) that resulted in a stroke, leaving the claimant disabled. Even if she had been warned of the risks alleged with this treatment, she had not been told the comparative risks of MR1, which could have been an optional cure, but was not discussed with the claimant. This proves that the court was not following the doctor’s opinion on what was better for the patient in order to reach a conclusion, rather it was considering whether the individual was granted all the autonomy and freedom of choice possible so as to decide over something that would have possibly affected her bodily integrity.

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