Expanding Electronic Transmissions in the Practice of Medicine and the Role of Electronic Informed Consent

2008 ◽  
Vol 4 (4) ◽  
pp. 217-220 ◽  
Author(s):  
Timothy J. Paterick ◽  
Barbara B. Paterick ◽  
Timothy E. Paterick
Keyword(s):  
Informed Consent ◽  
Practice Of Medicine

scholarly journals Cancer: a perspective of human dignity and informed consent from ethics and justice

2020 ◽  
Vol 22 (3) ◽  
pp. 1-5
Author(s):  
Dora E. García-González ◽  
Xenia Anaid Rueda-Romero
Keyword(s):  
Informed Consent ◽  
Death Sentence ◽  
Ethical Values ◽  
Ethical Awareness ◽  
Ethical Perspective ◽  
Human Right ◽  
Moral Relevance ◽  
Practice Of Medicine ◽  
Personal Dignity

This article attempts to reflect on the importance of thinking in general about illness and about cancer, from an ethical perspective. This approach reveals the central role of personal dignity and the moral relevance that supports the reasons for respecting people. The ethical values that sustain the practice of medicine must aim at uplifting this dignity and seeking situations of justice, since living in a community expresses intersubjectivity that cannot be truncated by illnesses like cancer. Therefore, situations involving poverty cannot justify the lack of health care, and if such lacks occur, they run counter to ethical awareness in the deepest sense and destroy intersubjectivity. As a result, cancer is suffered as a vital experience, in a framework of lives that are lived and are not simply objects of study; those stricken with cancer are individuals who are denied the human right to health, and undergo the elimination of their dignity, the cancelation of justice, and a death sentence. Society is part of these actions and at the same time, suffers from the disappearance of hope.In this sense, the process of informed consent is used as a tool that encourages dialog and understanding between doctors and patients during proper treatment, on a shared path.

Crisis and Informed Consent: Analysis of a Law-Medicine Malocclusion

1987 ◽  
Vol 12 (1) ◽  
pp. 55-97 ◽  
Author(s):  
Fran Carnerie
Keyword(s):  
Informed Consent ◽  
Medical Treatment ◽  
Clinical Setting ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Catastrophic Illness ◽  
Physician Patient ◽  
Emotional Impairment

AbstractMany individuals develop a temporary state of cognitive and emotional impairment after being diagnosed with catastrophic illness. Thus, when crucial decisions about medical treatment are required, they are unable to assimilate information; or worse, the legal need to be informed can rival a psychological desire to not be informed. The Canadian informed consent doctrine is unresponsive to crisis and clinically impracticable, and so paradoxically compromises the integrity and autonomy it was designed to protect. Many aspects of the physician-patient relationship and clinical setting also undermine the philosophical values enshrined in this doctrine. This further jeopardizes the individual's integrity. The Article explores proposals for change such as delaying the informing and consenting, improving the concept of consent, and improving the role of the physician.

Proof, Science, and the Practice of Medicine

PEDIATRICS ◽  
1980 ◽  
Vol 66 (5) ◽  
pp. 817-818
Author(s):  
Michael S. Kramer ◽  
I. B. Pless
Keyword(s):  
Medical Treatment ◽  
Medical Practice ◽  
Scientific Method ◽  
Practice Of Medicine ◽  
Hard Evidence ◽  
Informed Opinion ◽  
Principal Criterion

We read with surprise and considerable alarm Dr Crook's editorial concerning the role of scientific proof in medical practice. Unfortunately, he appears to confound the admittedly problematic philosophical construct of "proof" with the basic tenets of the scientific method. It is one thing to argue that scientific proof is difficult to define, but quite another to then conclude that opinion, even enlightened and informed opinion, is preferable to hard evidence as the principal criterion for assessing the efficacy of medical treatment.

INFORMED CONSENT

PEDIATRICS ◽  
1966 ◽  
Vol 38 (3) ◽  
pp. 373-374
Author(s):  
WILLIAM A. SILVERMAN
Keyword(s):  
Informed Consent ◽  
Young Children ◽  
Young Patient ◽  
Medical Practice ◽  
National Institutes Of Health ◽  
Special Position ◽  
Infants And Young Children

THE special position of infants and young children as subjects in therapeutic and non-therapeutic investigations is highlighted by recently renewed emphasis on the need to obtain formal consent, when (in the words of a National Institutes of Health memorandum) "procedures deviate from accepted medical practice." Who should act for the very young patient by giving consent based on informed understanding? Most codes for investigators specify that consent may be given only by parents or guardians. In these circumstances parents and guardians are forced into the role of arbiters required to make exceptionally difficult judgments in situations which increase in complexity each day that our knowledge increases.

PRESIDENT'S MESSAGE

PEDIATRICS ◽  
1962 ◽  
Vol 30 (1) ◽  
pp. 157-158
Author(s):  
Carl C. Fischer
Keyword(s):  
Whooping Cough ◽  
American People ◽  
Practice Of Medicine ◽  
The Subject ◽  
The Government ◽  
The Individual ◽  
The Cost ◽  
Federal Assistance ◽  
Children Under 5

REGARDLESS of how we, as individual physicians, may feel about the role of the federal government in the individual practice of medicine, the time has long since passed when we can afford the luxury of ignoring it. In past years the influence of the government on medicine has been mostly in general areas and perhaps least of all in that of pediatrics; but under the present administration there has been a decided change. For this reason it seems necessary to me to call to the attention of all Fellows of the Academy the particular items in President Kennedy's message of February 26, 1962, which relate specifically to the practice of Pediatrics. These may be considered to be three in number: The first of these dealt with the subject of immunization. On this topic President Kennedy said: I am asking the American people to join in a nationwide vaccination program to stamp out these four diseases (whooping cough, diphtheria, tetanus, and poliomyelitis) encouraging all communities to immunize both children and adults, keep them immunized and plan for the routine immunization of children yet to be born. To assist the states and local communities in this effort over the next 3 years, I am proposing legislation authorizing a program of federal assistance. This program would cover the full cost of vaccines for all children under 5 years of age. It would also assist in meeting the cost of organizing the vaccination drives begun during this period, and the cost of extra personnel needed for certain special tasks.

Parental Information and Circumcision: Another Look

PEDIATRICS ◽  
1983 ◽  
Vol 72 (1) ◽  
pp. 142-143
Author(s):  
JACK A. LAND ◽  
ANTHONY M. POLICASTRO
Keyword(s):  
Informed Consent ◽  
Pregnant Women ◽  
Air Force ◽  
Medical Center ◽  
Counseling Session ◽  
Air Force Base ◽  
Parental Information

To the Editor.— We found "The Role of Parental Information in the Incidence of Circumcision" (Pediatrics 1982;70:597-598) to be most interesting. At Malcolm Grow USAF Medical Center, Andrews Air Force Base, Maryland, we performed a similar study. Pregnant women, followed by the obstetrical service, were given appointments to attend, with their husbands, a four-hour general counseling session during their eighth month of pregnancy. During the session, circumcision was discussed in such depth that it constituted informed consent. Women who did not attend the session received no structured informed consent.

The Quandaries of Enforced Community Treatment and Unenforceable Outpatient Commitment Statutes

1986 ◽  
Vol 14 (1-2) ◽  
pp. 149-158 ◽  
Author(s):  
Jeffrey L. Geller
Keyword(s):  
Informed Consent ◽  
Community Treatment ◽  
Outpatient Commitment ◽  
Legal Sanctions ◽  
Least Restrictive Alternative

One response to the problems created by deinstitutionalization has been outpatient commitment. Involuntary community treatment presents a series of dilemmas, including those involving the role of enforced treatment in psychiatry, the implementation of informed consent, the application of “least restrictive alternative,” and the ever-widening liability of psychiatrists. While outpatient commitment itself presents conundrums, outpatient commitment which is unenforceable brings the psychiatrist to even further quandaries. Using Pennsylvania as an example, the difficulties posed by unenforceable outpatient commitment are presented. The author concludes that although coerced community treatment may be successful even without legal sanctions, this is not an ethically sound solution.

scholarly journals Healthcare Interpreting and Informed Consent: What is the Interpreter’s Role in Treatment Decision-Making?

2007 ◽  
Vol 18 (2) ◽  
pp. 225-247 ◽  
Author(s):  
Andrew Clifford
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Medical Ethics ◽  
Treatment Decision ◽  
Cross Cultural ◽  
Professional Relationships ◽  
Case Scenario ◽  
Treatment Decision Making ◽  
General Communication

This article examines the part that healthcare interpreters play in cross-cultural medical ethics, and it argues that there are instances when the interpreter needs to assume an interventionist role. However, the interpreter cannot take on this role without developing expertise in the tendencies that distinguish general communication from culture to culture, in the ethical principles that govern medical communication in different communities, and in the development of professional relationships in healthcare. The article describes each of these three variables with reference to a case scenario, and it outlines a number of interventionist strategies that could be potentially open to the interpreter. It concludes with a note about the importance of the three variables for community interpreter training. Keywords: community interpreting, informed consent, role of the interpreter, healthcare.

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