Chapter 3: Informed Consent
Documenting the refusal of treatment should be noted in the patients chart and should include:
- Providers information given to the Pt - Patients understanding the risk of refusing trestment - Patients reasons for refusing treatment - Date and signature of patients, provider and witness
What are the three basic forms of consent?
-Implied consent -Expressed consent -Written consent
Parts of informed consent :
-The diagnosis -The nature and predicted course of disease with and without treatment, possiblecosts -Need for certain procedure -Advantages and disadvantages, potential risks, costs, and long term effects,estimated time, and effect on patient's job performance
What model the provider is not an authority but rather a patner in the process of deciding what is best for the patient?
Autonomy enhancing model
Term: Doing what will benefit the patient
Beneficence
Nonmaleficence and beneficence is termed?
Benevolence
What was the basis of the Harm Avoidance model?
Constual of sonsent as trust dependent
What should the patients refusal form have documentation of?
Date, signed by the health care provider, the patients and a witness.
What form of consent is a verbal agreement?
Expressed consent
In what model, there is an obvious underestimation of the duty to inform the patient adequately as risk and benefits were left out?
Harm Avoidance model
What model does the practitioner adoopts paternalim and the patient accepts that?
Harm Avoidance model
Patients who prefer not to be informed, they are said to opt for?
Harm avoidance/paternalism context
The patient's acceptance of a line of treatment based on the information provided by the health care provider two sides: being informed and giving consent?
Informed Consent
Understanding the risk of refusing care is equivalent to what is called?
Informed refusal form, which has legal importance.
Is signing the Notice of Privacy Protection a interpreted as informed consent for treatment?
NO
Forms of consent is Implied consent?
Non-verbal or unwritten agreement to a procedure
Term: Doing no harm
Nonmaleficence
The attitude of acting like a parent who knows what is best for the patient and the patient accepts that is termed?
Paternalism
In the case if the patient is mentally or psychologically compromised or is experiencing a severe physical illness that diminishes his or her judgment, he or she cannot produce a truly informed consent who should be invlolved and should participate with the provider in decision making?
Surrogate
T/F If the refusal will mean ending the patients/provider relationship, then a letter should be sent to the patient.
True
What form of consent is a signed agreement to a procedure(document)?
Written consent
Are people intitiles to waive there rights?
Yes
