Overriding Patient Autonomy to Enhance It: Not the Role of a Consultation Team

2016 ◽  
Vol 16 (8) ◽  
pp. 11-13 ◽  
Author(s):  
John J. Paris ◽  
Robert L. Fogerty ◽  
Brian M. Cummings ◽  
M. Patrick Moore,
Keyword(s):  
Patient Autonomy ◽  
Consultation Team

Communication in medical genetics and patient autonomy

2020 ◽  
pp. 17-18
Author(s):  
С.В. Шевченко ◽  
С.В. Лаврентьева
Keyword(s):  
Patient Autonomy ◽  
Medical Genetics ◽  
Legal Problems

В свете коммуникативных особенностей медико-генетической консультации рассматривается два типа этико-правовых проблем, касающихся автономии пациента. Показана роль первичной консультации в их решении. In this paper we considered two types of ethical and legal problems regarding patient autonomy in perspective of the communicative features of the medical genetics. Also, this paper shows the role of the primary consultation in solution of this problems.

Structuring the Wider Environment and the DBT Team

2018 ◽  
pp. 216-234
Author(s):  
Michaela A. Swales ◽  
Christine Dunkley
Keyword(s):  
Clinical Experience ◽  
Implementation Research ◽  
Dialectical Tensions ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
The Core ◽  
Clinical Literature ◽  
Consultation Team ◽  
The Individual

The role of the dialectical behaviour therapy (DBT) team lead is rarely discussed in the DBT academic or clinical literature. However, much implementation research and clinical experience in training and supporting teams new to DBT indicates the importance of the team lead to the correct and efficient functioning of the team itself. This chapter outlines the role of the team lead in relation to two of the functions of DBT; structuring the environment, and enhancing therapists’ capabilities and motivation. It outlines and discusses the core tasks of each of these functions for the team lead. Additionally, it describes the skills and strategies team leads need to learn and deploy to their team in the individual therapeutic and consultation team settings. Lastly, it outlines common dialectical tensions that can arise for team leads, and offers strategies for their management.

Respect for Autonomy: Seeking the Roles of Healthcare Design From the Principle of Biomedical Ethics

2020 ◽  
Vol 13 (3) ◽  
pp. 230-244
Author(s):  
Liwei Zhu ◽  
Shanshan Zhang ◽  
Zhipeng Lu
Keyword(s):  
Patient Autonomy ◽  
Modern Society ◽  
Biomedical Ethics ◽  
Environment Design ◽  
Design Strategies ◽  
Respect For Autonomy ◽  
Healthcare Environment ◽  
Patient’S Autonomy ◽  
Definition Of

Objective: This article aims to discuss the role of the healthcare environment on patient’s autonomy. Referring to biomedical ethics will provide a research logic and form a theoretical framework for healthcare designers to define patient autonomy, to master the conditions for promoting it, and to discover the potential of the environment. Background: In modern society, it becomes the responsibility of healthcare architects to realize the design of “benefit for patients.” The goal of healthcare environment design and research is also gradually from a basic level of ensuring the physiological safety of patients to achieving a higher level of respecting patients and helping realize their self-realization. However, how to express respect to patients in the healthcare environment is ambiguous. In order to break through the limitation of architectural specialty, we propose to introduce biomedical ethics. Under this major premise, this article will discuss from the perspective of respect for autonomy (RA). Method: This article combines the definition of autonomy and the discussion of the medical and nursing practice to summarize and propose the themes about RA. It draws on the top-down deductive logic of biomedical ethics from theory to application and applies the three-condition theory of Beauchamp and Childress to deduce the role of the healthcare environment on patient autonomy in each theme. Conclusion: Introducing biomedical ethics into the study of environmental design provides a more theoretical and systematic way of thinking about the role of the healthcare environment. Some autonomy-supportive design strategies are collected and proposed.

An Exploration of the Relationship Between Patient Autonomy and Patient Advocacy: implications for nursing practice

2002 ◽  
Vol 9 (5) ◽  
pp. 472-482 ◽  
Author(s):  
Deirdre Hyland
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Patient Autonomy ◽  
Positive Outcome ◽  
Care Provision ◽  
Patient Advocates ◽  
The Right ◽  
The Relationship ◽  
Paternalistic Approach

The purpose of this article is to examine whether patient/client autonomy is always compatible with the nurse’s role of advocacy. The author looks separately at the concepts of autonomy and advocacy, and considers them in relation to the reality of clinical practice from professional, ethical and legal perspectives. Considerable ambiguity is found regarding the legitimacy of claims of a unique function for nurses to act as patient advocates. To act as an advocate may put nurses at personal and professional risk. It may also be deemed arrogant and insulting to other health care professionals. Patient autonomy can be seen as a subcategory of the right of every individual to self-determination, and as such is protected by law. However, it is questionable whether the traditionally paternalistic approach to health care provision truly respects the autonomous rights of each patient. The author considers examples and cases from the literature that resulted in professional and/or personal difficulties for the nurses involved, and also reflects on an incident from her own practice where a positive outcome was achieved that demonstrated compatibility between the concepts under consideration.

The role of a substance abuse consultation team in a trauma center.

1995 ◽  
Vol 56 (3) ◽  
pp. 267-271 ◽  
Author(s):  
M G Fuller ◽  
D L Diamond ◽  
M L Jordan ◽  
M C Walters
Keyword(s):  
Substance Abuse ◽  
Trauma Center ◽  
Consultation Team

scholarly journals Opinion: redefining the role of the physician in laboratory medicine in the context of emerging technologies, personalised medicine and patient autonomy (‘4P medicine’)

2017 ◽  
Vol 72 (3) ◽  
pp. 191-197 ◽  
Author(s):  
Matthias Orth ◽  
Maria Averina ◽  
Stylianos Chatzipanagiotou ◽  
Gilbert Faure ◽  
Alexander Haushofer ◽  
...  
Keyword(s):  
Patient Autonomy ◽  
Personalised Medicine ◽  
Laboratory Medicine ◽  
The European Union ◽  
Medical Specialists ◽  
Laboratory Results ◽  
Training Programmes ◽  
The Right

The role of clinical pathologists or laboratory-based physicians is being challenged on several fronts—exponential advances in technology, increasing patient autonomy exercised in the right to directly request tests and the use of non-medical specialists as substitutes. In response, clinical pathologists have focused their energies on the pre-analytical and postanalytical phases of Laboratory Medicine thus emphasising their essential role in individualised medical interpretation of complex laboratory results. Across the European Union, the role of medical doctors is enshrined in the Medical Act. This paper highlights the relevance of this act to patient welfare and the need to strengthen training programmes to prevent an erosion in the quality of Laboratory Medicine provided to patients and their physicians.

Genetic Modification and Adverse Societal Effects

2018 ◽  
Vol 43 (3) ◽  
pp. 2-4
Author(s):  
Phil Cerroni ◽  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Patient Autonomy ◽  
Hippocratic Oath ◽  
Human Beings ◽  
Care Community ◽  
Do No Harm ◽  
Genetic Technologies ◽  
Physical Abilities

Emerging genetic technologies challenge the relevance of terms the health care community has relied on for centuries. Since the Hippocratic Oath inspired the principle “First, do no harm,” health care professionals have affirmed the curative role of medicine, despite disagreement over concepts like patient autonomy, benefit, and dignity. Before the advent of genetic engineering, man’s ability to improve his cognitive and physical abilities beyond human beings’ species-typical capacities was outside the realm of possibility. This is no longer the case, and our existing vocabulary, which centers on developing and providing cures, does not describe the possibilities introduced by emerging genetic technologies.

scholarly journals “For Their Own Good”: A Response to Popular Arguments Against Permitting Medical Assistance in Dying (MAID) where Mental Illness Is the Sole Underlying Condition

2018 ◽  
Vol 63 (7) ◽  
pp. 451-456 ◽  
Author(s):  
Justine Dembo ◽  
Udo Schuklenk ◽  
Jonathan Reggler
Keyword(s):  
Mental Illness ◽  
Patient Autonomy ◽  
Medical Condition ◽  
Value Of Life ◽  
Natural Death ◽  
Medical Assistance ◽  
Liberal Democracies ◽  
Medical Assistance In Dying ◽  
Underlying Medical Condition

Canada is approaching its federal government’s review of whether patients should be eligible for medical assistance in dying (MAID) where mental illness is the sole underlying medical condition, and when “natural death” is not “reasonably foreseeable”. For those opposed, arguments involve the following themes: capacity, value of life, vulnerability, stigma, irremediability, and the role of physicians. It has also been suggested that those who are able-bodied should have to kill themselves, even though suicide may be painful, lonely, and violent. Opponents of MAID for severe, refractory suffering due to mental illness imply that it is acceptable to remove agency from such patients on paternalistic grounds. After years of efforts to destigmatise mental illness, these kinds of arguments effectively declare all patients with mental illness, regardless of capacity, unable to make considered choices for themselves. The current paper argues that decisions about capacity must be made on an individual-patient basis. Given the rightful importance granted to respect for patient autonomy in liberal democracies, the wholesale removal of agency advocated by opponents of a permissive MAID regime is difficult to reconcile with Canadian constitutional values.

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