Informed Consent, Refusal, and Competence Essay

Informed Consent, Refusal, and Competence Essay

Length: 1377 words (3.9 double-spaced pages)

Rating: Strong Essays

Open Document

Essay Preview

In the medical field today, whenever a procedure is going to be done on a patient, informed consent must be given to the doctor from the patient prior the procedure taking place. Informed consent is the approval given by the patient to the doctor for treatment. In the case being discussed today, an 80 year old patient, with a history of congestive heart failure, is in the doctor's office complaining of chest pains. After an examination, the doctor believes the best course of treatment would be to have a surgical procedure, in an attempt to save the patients life. During the examination however, the patient expresses the wish to just be able to die. There is no Living will or Do Not Resuscitate (DNR) on file. The patient’s wife is afraid of the surgery, while the daughter is for anything that could save her dads life.
The first thing that needs to take place in this situation is the determination of the competency of the patient. By using the Understand-and-Appreciate method of determining competency, if the patient understands the situation and all the options that are available to him; but also appreciates the options and understand the side effect of treatment or lack there of treatment , the patient is deemed confident. On the flip side, if the patient’s requests fall too far outside the realm of what would be considered normal, that could help in determining whether or not to override the patient’s wishes due to no longer being considered competent. It is the belief that “it is ethically justified to overrule the seriously irrational decision of a competent patient.” (Fredrick Adolf Paola, 2010)
Under the assumption that during the last five years of treating Patient X for congestive heart failure, he never men...


... middle of paper ...


...rd battle to fight at times. The reasoning behind the refusal may not make sense to everyone, but as long as the patient has been deemed competent, the patients’ right to choose their own medical care becomes number one priority. If, on the other hand, circumstances have found the patient not competent, moving forward to acquire consent from the next of kin of the court appointed surrogate of care is a must to ensure the patient receives the best medical care possible and results in an improved quality care of life for the patient.





Works Cited

Competency to make medical decisons. (n.d.). Retrieved 07 03, 2011, from Stanford. Edu: http://www.stanford.edu/group/psylawseminar/Competency.htm

Fredrick Adolf Paola, R. W. (2010). medical Ethics and Humanities. Juonesd and Bartlett Publiushers.

Lecture notes for HLT-305. (2011, 07 03). State University .

Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

Essay on The Importance Of Consent And Its Types And Legal Fundaments

- The purpose of this essay is to introduce the concept of consent, briefly identify its types and legal fundaments, examine significance of consent in a healthcare provision and illustrate the main issues involved with patients’ consent with midwifery practice as the focal point of interest. According to Medical Dictionary (2003) ‘consent’ is an ‘act of reason’, voluntary agreement to proposed treatment made by a mentally capable person upon receiving relevant information. Patients’ consent is closely associated with individuals’ liberty, person’s autonomy and the right to decide about themselves and their body with assumption of taking full responsibility for decision and its consequences (F...   [tags: Autonomy, Informed consent, Human rights]

Strong Essays
878 words (2.5 pages)

Informed Consent For Research Studies Essay

- Informed Consent Analysis Informed consent for research studies utilizing human subjects requires ethical and legal practices. As identified by Engel and Schutt (2013) historical experiments with unethical practices lead to the development of laws and guidelines for conducting human research. Three of the principals required for conducting the research, from the developed Belmont Report, are respect for persons, beneficence, and justice (Engel & Schutt, 2013). Part of developing ethical practices is providing participants of a study with an informed consent document, to make them aware of what they are entering into....   [tags: Ethics, Informed consent, Participation]

Strong Essays
1076 words (3.1 pages)

Essay about Improving Effectiveness of Informed Consent Process

- Informed consent has been preserved as a sacred value since medicine started caring for the sick and it is still upheld today as a critical component of clinical research. Ensuring voluntary participation through an informed decision-making process in clinical research continues to be an ethical and moral obligation of the study team, quite often the study nurses. Over time these forms have reached a degree of unreasonableness; exceeding twenty pages, being too complex, and readability that exceeds the targeted populations....   [tags: Essays on Informed Consent ]

Strong Essays
1840 words (5.3 pages)

Informed Consent For Medical Treatment Annotated Bibliography Essay

- Informed Consent for Medical Treatment Annotated Bibliography Ingravallo, F., Gilmore, E., Vignatelli, L., Dormi, A., Carosielli, G., Lanni, L., & Taddia, P. (2014). Factors associated with nurses’ opinions and practices regarding information and consent. Nursing Ethics, 21(3), 299-313 15p. doi:10.1177/0969733013495225 In this peer review journal article, based on a cross sectional survey conducted in a large Italian teaching hospital, the authors seek to examine nurses’ opinions and practices regarding information and consent and explore the possible influences such as gender, age, education, professional experience, and care setting....   [tags: Nursing, Ethics, Patient, Informed consent]

Strong Essays
1394 words (4 pages)

Informed Consent Essay

- 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....   [tags: Medical Consent]

Strong Essays
1909 words (5.5 pages)

Essay about The Role Of Parental Consent

- ... In Salgo v. Stanford Jr., 1957, the court officially declared that it was the duty of the physician to disclose any necessary information to patients to give an intelligent consent. For the patient to provide consent, the patient must be competent and gives consent voluntarily. Consent is needed because the patient has the autonomy to decide what happens to his/her body; thus, consent becomes more complicated when the patient is a minor—this will be discussed later. There are several different standards in which the information provided by the professional is qualified as adequate....   [tags: Medicine, Informed consent, Autonomy, Physician]

Strong Essays
1563 words (4.5 pages)

Cultural Competence and Informed Consent in Health Care: Confronting a Fetal Abnormality

- ... (Collier & Haliburton, 15-17) Paternalism not so long ago was the model used in patient relations, it embodies two main ethical principles: beneficence—doing good- and non-maleficence—preventing harm. Dr. Fox could have prevented harm by considering the family’s wishes, and would have done well if he waited until Leyla was more emotionally stable. Furthermore, one of the main reasons paternalism is no longer an ideal model is because of autonomy. However, autonomy, which is embodied by the principle of informed consent, was additionally violated in the above case, Dr....   [tags: kindness from health care professionals]

Strong Essays
1708 words (4.9 pages)

Essay about Informed Consent in Healthcare

- 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....   [tags: Health Care, Legal Issues, HIPAA ]

Strong Essays
1832 words (5.2 pages)

Informed Consent Essay

- Informed Consent According to West's Encyclopedia of American Law, the definition of informed consent is "consent by a patient to a surgical or medical procedure or participation in a clinical study after achieving an understanding of the relevant medical facts and the risks involved” (Fallon L.F.Jr, 2010, p. 1). Basically, this is a form stating that the physician has explained, in words that the patient can understand, the details of the treatment or procedure that is being proposed, including the benefits the risks, as well as alternatives....   [tags: Medical Ethics ]

Strong Essays
1333 words (3.8 pages)

Informed Consent Essay

- The world is full of questions. People are constantly searching for answers. People read, explore, and investigate to find answers. Researchers are professionals who search for answers but they are governed by rules and regulations on how to set up studies to find answers. Ethics are the guidelines or standards used by researchers when setting up a study. Ethical research studies abide by the guidelines set up by the American Psychological Association (APA). They need to understand concept of risk to benefit ratio....   [tags: Ethics ]

Strong Essays
1260 words (3.6 pages)