“Any adult, mentally competent person has the right in law to consent to any touching of his person”(Dimond, 2011, p.149). In other words, consent comes in various forms and all individuals have the right to determine what will be done to their body. This essay will discuss the concept of consent and apply it to the skill of undertaking clinical observations. It will look at how this concept will influence the skill when undertaken in placement. It will also explain how undertaking clinical observations with consent supports one of the six senses of frameworks of relationship centred care. Consent Consent is to give permission. It is an expression of independence and must be the free choice of the individual and it cannot be obtained by undue violence. In order for the consent to be valid a mentally competent person must give it voluntarily as supported by Griffith and Tengnah consent needs to be “full, freely given and reasonably informed”(2010, p.81). Consent can be obtained in various forms, these being through implied consent, written consent, or by word of mouth consent. The reason why consent is the chosen nursing concept for this assignment is because patients should be provided with information with what is going to happen and they should have the right to consent to any touching upon their person. According to the Department of Health (DOH) (2009), healthcare professionals providing treatment and care need to discuss with their patients both the benefits
The process of consent should apply not only to surgical procedures but all clinical procedures and examinations which involve any form of touching. This must not mean more forms: it means more communication. As part of the process of obtaining consent, except when they have indicated otherwise, patients should be given sufficient information about what is to take place, the risks, uncertainties, and possible negative consequences of the proposed treatment, about any alternatives and about the likely outcome, to enable them to make a choice about how to proceed.”5
According to the Oxford Dictionary consent is defined as ‘giving permission for something to happen or agreeing to do something’. They define confidentiality as ‘entrusted with private information and if something is intended to be kept secret or in confidence’ (Soanes and Hawker, 2005). As a healthcare professional consent and confidentiality are in place as protective vices, by gaining consent and keeping a patients confidentiality it protects both the patient and the healthcare professional. There are three types of consent: Verbal consent, consent in writing and implied consent. Depending on the situation each type of consent may not be acceptable. For example if a procedure is putting a patient at risk, is complex or invasive for example an operation, written consent is
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
How does person centred practice inform the way in which consent is established with individuals.
Gaining consent from the patient before performing the skills is part of the nursing and midwifery code (2008). I must gain permission from a patient before performing any clinical procedure and the patient have their rights to reject or disapprove the treatment or care given by me. I as a nurse must respect any decision made by the patient. The aim of gaining permission or consent is to help the patient to understand the procedure that is being carried out.
Consent means to provide approval for something to happen or an arrangement to do something.
When working with an individual it is important to uphold their rights to be fully involved in their own care, whilst adhering to legal requirements. It is also the individuals right to refuse any care, support or treatment they do not want. It is also essential that people not only give you their consent but also that they understand what they are consenting to and the implications of this. Gaining consent protects not just the career but the individual receiving the care and support as-well. If no consent is given then you cannot proceed with the care. It is illegal to pressure anyone into
In this assignment I will be discussing Adult Nursing and Mental Health Nursing and issues regarding consent. Consent is important within all fields of nursing as it is essential to conduct any medical procedures. The Nursing and Midwifery Council Code of Conduct (NMC,2008) states that all healthcare professionals must presume that all patients have the mental capacity to accept or deny medical treatments after being given all information which may be needed. However there may be some instances where consent cannot be obtained. An example of this is if the patient is in a medical emergency and may be unconscious or if the patient lacks the mental capacity to make a knowledgeable choice. In this situation treatment would be
Dimond (2009) and NHS choices (2016) explained consent as the process involving a person giving their approval to accept or refuse a treatment or interventions, after receiving detailed information from a health care professional about the risk or benefits of the procedure. In order for consent to be deemed valid, it needs to be given voluntarily without any influence or pressure from either a family member or clinician. In addition, the capacity of the person is important when giving consent and the ability to process the given information and make a decision. Tingle &Cribb (2014) agree, emphasizing that the autonomy of the person giving
The key aspects of this skill are consent, preparation and prevention. The nurse must obtain consent from the patient and explain the procedure. The patient must be made comfortable and placed in a suitable position
The subject of consent requires the understanding of some of the legal and ethical issues surrounding the subject-
This assignment will explore a case study on an episode of care where a patient with chronic pain was hoisted. This will be written from the perspective of the author, a student nurse. The purpose of this assignment is to underline the ethical, legal and professional issues surrounding the episode of care during nursing practice and how these issues influence the role of the nurse and their professional judgement in delivering holistic, person-centred care for the patient. The author will cover the complications on delivering care when healthcare professionals should consider and respect the patient’s decisions and personal preferences whether it may benefit the patient or not. Therefore, the author will argue the principles of the
Consent can be quite tricky, a legal minefield for healthcare teams, this is due to the patients who will give or refuse to give private information about themselves who is legally competent but
Roleplaying can be effective tool to help us better understand a topic or situation. Especially when dealing with situations in a Medical Clinic. Roleplaying can help us to better understand what we may come across and prepare ourselves for potential situations Completing consent to treatment form has taught me the importance of it is like a legal contract between the patient and the doctor. In this chapter I’ve learned that although the physician is responsible for obtaining consent, it is the MOA who will act as the witness for the doctor and the patient. The MOA can be the client advocate, verifying that the client or family member understands the consent form and implications and
The purpose of this essay is to provide an outline of the four principles of biomedical ethics autonomy, beneficence, non-maleficence and justice. It will then specifically concentrate on Autonomy in relation to adult nursing practicing and the way in which patient’s autonomy can be respected. The essay will explore limitations and conflicts of autonomy that may impact its implantation in health care settings and then go on to discuss legal and professional obligations of nurses in relation to autonomy.