Consent and the Right to Refuse Treatment

Author(s):  
Robert M. Veatch ◽  
Amy Haddad ◽  
E. J. Last

This chapter is concerned with one of the major ethical issues in contemporary health care practice: informed or valid consent. The chapter defines the elements of informed consent—that is, the types of information that need to be transmitted for consent to be adequately informed. The second section looks at cases involving questions of the standards of consent, referring to the question of what standard of reference should be used in determining whether a sufficient amount of a particular type of information has been transmitted: the professional standard, the reasonable person standard, or the subjective standard. The third section examines questions of whether the information transmitted is comprehended and whether the consent is adequately voluntary. Finally, the fourth section addresses whether incompetent patients can be expected to consent and what role parents, guardians, and other surrogates can play in giving approval for medical treatments for those who are legally incompetent to do so themselves.

2013 ◽  
Vol 2 (2) ◽  
pp. 31-35
Author(s):  
MAI Khan ◽  
A Taleb

A survey was conducted on dental surgeons’ perception of ethics concerning informed consent. Forty-six dentists employed in different private and government dental colleges and private dental clinics, responded to a questionnaire, which contained ten questions related to the ethics of informed consent. The Study revealed that the dentists were aware of legal and ethical issues related to informed consent, and majority of them relied on verbal consent (82.6%) rather than a written consent for any form of treatment. All the dentists (100%) agreed to the importance of informed consent for patients, and almost all the participants (97%) agreed that patients hold the right to refuse treatment or take legal action if they were not informed properly, although 19% of the participants did not consider failure in obtaining informed consent as an offence. Sixty-three percent of the participants did not agree to the notion that a written consent would make dentistry difficult while the remaining 37% feared that dentistry would be difficult if written consent was made mandatory. The survey also revealed that participants were keen to learn more about principles of medical ethics and felt ethics be taught more elaborately in the undergraduate level. In conclusion it was suggested that dentists should obtain a written consent for ethical reason or legal safeguard or at least keep a written account of the type of consent given by the patient.DOI: http://doi.dx.org/10.3329/bjdre.v2i2.16241 Bangladesh Journal of Dental Research & Education Vol.2(2) 2012: 31-35


2004 ◽  
Vol 11 (1) ◽  
pp. 53-62 ◽  
Author(s):  
Brenda L Cameron

In seeking for an understanding of ethical practices in health care situations, our challenge is always both to recognize and respond to the call of individuals in need. In attuning ourselves to the call of the vulnerable other an ethical moment arises. Asking ‘how are you?’ in health care practice is our very first possibility to learn how a particular person finds herself or himself in this particular situation. Here, ‘how are you?’ shows itself as an ethical question that opens up a relational space that calls forth a response. It is a way to understand the situated moments in which we are already that enables us to act respectfully. Our ethical frameworks assist us in trying to decide what is the right thing to do given a set of circumstances. Yet there is a prior step that already calls us to ethical attention; this is when we ask ‘how are you?’, which transforms a seemingly small interaction into an ethical moment. ‘How are you?’ is a question that turns us back to who we are as health care professionals and calls us to be more deeply attentive to the moment. When we sincerely ask ‘how are you?’ we enact our ethical commitments to one another.


2004 ◽  
Vol 1 (4) ◽  
pp. 16-19
Author(s):  
Tuviah Zabow

One of the challenges of medical practice is to resolve the conflicts that arise when a professional is required to choose between competing ethical principles. This is especially true in psychiatry. The answers to ethical issues are not necessarily right or wrong. Ethics in psychiatry is complex, and numerous dilemmas may confuse the picture. Clinicians and researchers bring their own values to the scenario, but they must also deal with the values of their colleagues and their patients, as well as those of the wider (multicultural) community. These conflicts traditionally concern confidentiality, informed consent, involuntary hospitalisation, the right to treatment, the right to refuse treatment and the regulation of psychiatric research, among others. These are universally encountered but present differently across the regions of the world.


2021 ◽  
Vol 9 (1) ◽  
pp. 58
Author(s):  
Muneerah Lbugami ◽  
Usamah El Alem

Patient autonomy is one of the most important ethical values in the health care practice. Patients’ autonomy means the right of patients to make decisions about their medical care without their health care provider trying to influence the decision. Patients’ autonomy allows health care providers to educate the patients but do not allow them to make the decision for the patients.  


2011 ◽  
Vol 7 (3) ◽  
pp. 273-284 ◽  
Author(s):  
Michael Kirby

AbstractAfter outlining his experience in the world of bioethics, the author draws on his role in the UNESCO International Bioethics Committee to explain the new Universal Declaration of Bioethics, adopted by UNESCO in 2005. He describes it as the first global attempt to reconcile the differing sources of bioethical principles: health-care practice and experience and universal human rights. Whilst collecting, and accepting, some criticism of the text of the Declaration, the author sees its chief values as lying in the wider ethical issues that it reflected of concern to the community, the world and biosphere as well as in the adjustment of health-care approaches for consistency with the growing impact of universal human rights law. Whilst acknowledging the differing social experiences of people in different regions of the world, he invokes Amartya Sen to cast doubt on the notion of specific ‘Asian values’, whether in bioethics or human rights.


1982 ◽  
Vol 37 (8) ◽  
pp. 974-975
Author(s):  
Thomas G. Gutheil

1984 ◽  
Vol 15 (2) ◽  
pp. 211-230 ◽  
Author(s):  
S. Linder-Pelz ◽  
S. Levy ◽  
A. Tamir ◽  
T. Spenser ◽  
L. M. Epstein

2019 ◽  
Vol 2 (1) ◽  
pp. 27-34
Author(s):  
Richard Moreno ◽  
◽  
Cristinel Ștefănescu ◽  
Beatrice Gabriela Ioan ◽  
Mariana Cuceu ◽  
...  

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