The Importance Of Informed Consent In An Internship

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

I currently work at an SMI clinic for TERROS and I selected an intake form off of the internet instead of the intake for my work because our intake is a template that generates into a document once signed by all appropriate parties. I must say this random mental health intake form I found is extremely similar. I think these forms are now somewhat standardized and having just recently started filling out assessments of this nature and doing service plans with behavioral health recipients. I must confess it is difficult to get all of these answers out of clients and to keep their attention long enough to complete this paperwork. I feel often times we must resort to generic answers that do not give us a full understanding f who these people are and what their needs are, but it is a good resource to have a basic understanding of a client and when sharing information with other people on the clinical team good note taking skills and complete forms makes communication and client service much more efficient.

There are some questions within the intake form that can be difficult for the client to follow, as they are heavy with regards to medical terminology. When seeking information regarding substance abuse issues the intake form outlines the medical term for the different types of substances a client can be utilizing potentially making it difficult for the client to determine the types of substances that the client has chosen to utilize. Otherwise, the remainder of the form appears to be written in a way that can be understood among different reading levels.

The intake form is easy to read and presented in a way that is easy to navigate through. As a client it would be easy enough to go down the list and answer the questions. As a social worker, there may be concern that important questions do not pop out such as suicide idealizations and owning a gun. The question regarding if a client is wanting to harm someone else should also be included in this form for obvious safety

Today I organized documents for case managers because there are some new clients that are being processed. There is a form that must be completed on each client which is an Intake form. This form is the form that Case Worker fill out when a new client is introduced into the Redeploy program. There are two different forms Outer Counties and St. Clair counties. On the document it has several questions such as name, address, education, health, and use of what substance, religion, and family income. This is the first form I saw in each client’s file because this is important to know who file you are looking at and the background on the client.

I do not think there is always sufficient space to answer questions completely. For example, within the Family Background and Childhood History section, there are questions asking the client to describe their relationship with both their father and mother. Only one and one-half lines are provided for this response. A bit more space might encourage a better understanding of client concerns. I understand the intake is intended to be brief but additional client explanation would be helpful.

In Canada informed consent has been exercising in a broad way and to enforce this action College of Nurses states that; nurses are accountable for obtaining informed consent. The most important part of the consent process is informing the client. It is useless to get the client’s signature, if the client is not well informed and made fully understood. In practice, nurses are only witnessing the consent and they are not verifying if the informed consent was taken. (CNO, 2013).

The client, Julie*, called into the Crisis Center Hotline looking for immediate shelter for herself and her two young children. At that time, our shelter was not full and therefore had space for the mother and her children. I went through the procedural routine of making sure that she was not in the center’s blue books, a record of clients not allowed to receive shelter and/or services, and seeing if she had an alpha card already completed, this would mean that she was a previous client at the shelter and already had a file. Julie* did was not found in either source. At that point, I began to complete the shelter intake paperwork with her over the phone. The first two pages of the intake are completed first with the client. These pages find out more about the client’s demographics, her current physical and mental health state, how many children she has and if she could be pregnant at the time, her abuser’s demographics, and the presenting primary abuse occurring. I completed these two pages with Julie* and then from that point an approval staff member will tell you if you can complete the rest of the intake or tell the client that at the time we cannot offer them services. Julie* was approved to complete the rest of the intake paperwork. The majority of the rest of the intake paperwork is a more detailed explanation of the first two pages. These pages help the approval staff and I see if the client raises any major concerns and allows us to prepare for her stay

: Met with client before IOP group this date for ISP review, and to address overall treatment progress. Presented a good attitude and engaged well in the conversation. Reported no use of Methamphetamine or other substances, C/S date as 2/28/2018, although UA on 03/21/18 was positive for methamphetamine. Client reported he is excited that he is in treatment, stating “I never been to treatment before. I would like to learn about the addiction, but I am also affair of treatment because I am worried that I won’t make it.” Client reported main arears of concern is “staying clean and sober and complete treatment”. Stated “My ex-girlfriend is not supportive, and she drives me crazy. I work and pay the bills, but she never happy. She asked me to do this to do

When clients are admitted to the RTC, a legal guardian must accompany them in order to complete the initial intake documentation. Several intake procedures are completed within the first twenty-four hours of the client’s arrival. The intake process begins with consent forms (see Appendix X) that require a signature from the legal guardian, which gives the RTC permission to treat the client. The legal guardian is asked to complete any necessary Authorization for Release of Information (see Appendix X). Next, the lead nurse conducts the Intake Behavioral Health Assessment and Service Plan (see Appendix x) with the new client. Following this assessment, the client is asked to provide a urine sample to test for substances (see Appendix X) and the

The chosen intake form is from Focused Solutions, LLC who serves the areas of Brentwood, Tennessee and Columbia, Maryland. Intake forms are essential components to the helping process and the information within the form aids mental health professionals in properly caring for their clients. It also aids mental health professionals in properly identifying a client’s presenting problem. Although not all forms are thorough, mental health intake forms are essential to quality care of clients since they provide important information regarding client health and well-being and indicates several identifiers to characterize the presenting problem.

At a practice level, the importance and guidance of the Code of Conduct, Code of Ethics and NPA are demonstrated on a daily basis with regard to the issues of documentation, informed consent and open disclosure, and confidentiality. With respect to documentation, nurses must be able to document patient assessments and responses in an accurate, comprehensive and confidential manner and record all observations objectively. Informed consent and open disclosure are also major legal issues nurses face daily. It refers to the communication between the patient and health professional that results in the patient's agreement to undergo a specific procedure and requires that the patient has thoroughly understood the procedure, implications and risks prior to giving written consent.

The information that must be presented to clients, first and foremost, are their rights and responsibilities as a client working with a particular therapist. Beyond this, an informed consent should outline the goals of the counseling relationship, the responsibilities of the client as well as the therapist, expectations of the client, limitations of the counseling relationships, fees involved, approximately how long the therapy process will take, and background information regarding the therapist, particularly their past experience and educational qualifications (Corey, 2013). Corey also mentions the informed consent process is an ongoing educational experience that lasts the

“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.

Make sure that i have explained to the client what is going to happen and how they feel about it. I will ask for verbal consent and written consent so i am backed up. For example if i want to take unused medication to the chemist i should have a signature from my client as days down the line they may ask where is the medication, What did i do with the medication, i stole the medication for my own personal use.