scholarly journals An Open Door to Ending Exploitation: Accountability for Violations of Informed Consent under the Alien Tort Statute

2006 ◽  
Vol 155 (1) ◽  
pp. 231 ◽  
Author(s):  
Erin Talati
Keyword(s):  
Informed Consent ◽  
Open Door ◽  
Alien Tort Statute

Interviewing a Person with Bipolar Disorder Under Involuntary Commitment: A Case Report

2019 ◽  
Vol 14 (5) ◽  
pp. 472-474 ◽  
Author(s):  
Jakov Gather ◽  
Janice Kalagi ◽  
Ina Otte ◽  
Georg Juckel
Keyword(s):  
Bipolar Disorder ◽  
Case Report ◽  
Informed Consent ◽  
Research Team ◽  
Ethical Problem ◽  
Research Participation ◽  
Initial Assessment ◽  
Involuntary Commitment ◽  
Open Door ◽  
Manic Symptoms

In this case report, we report an ethical problem that we faced in the course of an interview study on open-door policies in psychiatry with persons under involuntary commitment. One of the interviewees was a young woman with bipolar disorder who was under involuntary commitment at the time of the interview. While the woman had been assessed as competent and gave informed consent to research participation, her manic symptoms increased when the interview became increasingly distressing for her. Because of this, we decided to break off the interview and resume it at a later point of time. Within the research team, we raised the following ethical questions: (1) Was the participant, contrary to the initial assessment, unable to give consent for the study? (2) Was the voluntariness of her research participation compromised by her manic symptoms and involuntary commitment? (3) Should the participant have been excluded from the study against her expressed wish? (4) Should we have refrained from interviewing persons who were still under involuntary commitment?

Open Door Laminoplasty – Hinge Creation and Fracture Avoidance: 2-Dimensional Operative Video

2020 ◽  
Vol 19 (4) ◽  
pp. E419-E419
Author(s):  
Jeremy M V Guinn ◽  
Rory Mayer ◽  
Dean Chou
Keyword(s):  
Informed Consent ◽  
Postoperative Pain ◽  
Spinous Process ◽  
Open Door ◽  
Paraspinal Muscles ◽  
Surgical Video ◽  
Spinous Processes ◽  
Single Opening ◽  
Strong Attachment ◽  
Hinge Fracture

Abstract This surgical video demonstrates a technique for an open-door laminoplasty with its associated risks.1-3 The key to maintaining a strong hinge that can be opened without fracture lies in gradual, slow drilling of the hinge followed by sequential, progressively wider opening of the laminoplasty. This is in contradistinction to a single opening maneuver, which “cracks” the hinge and can result in fracture and disconnection of the lamina from the spine. We present our technique of C4-6 right-sided open-door laminoplasty. A C3 laminectomy is performed instead of a laminoplasty in order to prevent any muscular dissection of C2. This not only maintains the strong muscular attachment to C2, but it also helps alleviate postoperative pain since the muscles are maintained.4-6 The top of C7 is drilled to decompress the C6-7 level, and the C7 spinous process, along with its strong attachment to T1, is maintained to prevent kyphosis. The video highlights methods for maintaining key muscular and ligamentous attachments (C2 muscles and C7-T1 ligament) to decrease kyphosis risk, progressive hinge opening to help mitigate the risk of hinge fracture, and methods to help decrease postoperative pain (avoiding laminoplasty of C3, maintaining muscular and ligamentous attachments as stated above, and contouring the spinous processes in a manner that avoids protrusion into the paraspinal muscles). We have received informed consent of this patient to submit this video.

Tools and Resources: Web Sites of Interest

2001 ◽  
Vol 6 (2) ◽  
pp. 6-8
Author(s):  
Christopher R. Brigham
Keyword(s):  
Informed Consent ◽  
Physical Examination ◽  
Functional Status ◽  
Web Sites ◽  
Satisfaction Survey ◽  
High Quality ◽  
Diagnostic Studies ◽  
Physician Relationship ◽  
Complete History

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, explains that independent medical evaluations (IMEs) are not the same as impairment evaluations, and the evaluation must be designed to provide the data to answer the questions asked by the requesting client. This article continues discussions from the September/October issue of The Guides Newsletter and examines what occurs after the examinee arrives in the physician's office. First are orientation and obtaining informed consent, and the examinee must understand that there is no patient–physician relationship and the physician will not provide treatment bur rather will send a report to the client who requested the IME. Many physicians ask the examinee to complete a questionnaire and a series of pain inventories before the interview. Typical elements of a complete history are shown in a table. An equally detailed physical examination follows a meticulous history, and standardized forms for reporting these findings are useful. Pain and functional status inventories may supplement the evaluation, and the examining physician examines radiographic and diagnostic studies. The physician informs the interviewee when the evaluation is complete and, without discussing the findings, asks the examinee to complete a satisfaction survey and reviews the latter to identify and rectify any issues before the examinee leaves. A future article will discuss high-quality IME reports.

Informed Consent: Exceptions to Disclosure

2010 ◽  
Vol 43 (9) ◽  
pp. 48
Author(s):  
S.Y. TAN
Keyword(s):  
Informed Consent

FDA Reviews One Informed Consent Rule

2006 ◽  
Vol 5 (12) ◽  
pp. 62
Author(s):  
ELIZABETH MECHCATIE
Keyword(s):  
Informed Consent

Informed Consent

2011 ◽  
Author(s):  
Deborah Bowman ◽  
John Spicer ◽  
Rehana Iqbal
Keyword(s):  
Informed Consent

Autonomy, Privacy and the Implementation of the Principle of Informed Consent with regard to the Nursing Interventions from the View of elderly People

Pflege ◽  
2001 ◽  
Vol 14 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Anja Schopp ◽  
Theo Dassen ◽  
Maritta Välimäki ◽  
Helena Leino-Kilpi ◽  
Gerd Bansemir ◽  
...  
Keyword(s):  
Informed Consent ◽  
Elderly People ◽  
Ältere Menschen ◽  
Nursing Interventions ◽  
Patient’S Autonomy

Ziel dieser Untersuchung war die Autonomie, Privatheit und die Umsetzung des Prinzips der «informierten Zustimmung» aus der Perspektive des institutionell zu betreuenden, älteren Menschen zu beschreiben. Die Untersuchung ist ein Teil des durch die EU-Kommission unterstützten BIOMED 2 Projektes «Patient’s autonomy and privacy in nursing interventions»1. Interviewdaten (n = 95) wurden in deutschen Kliniken der Geriatrie und Pflegeheimen gesammelt. Ergebnisse zeigten, dass die Teilnehmer in geringem Maß selbstbestimmte Entscheidungen treffen konnten. Das Prinzip der «informierten Zustimmung» wurde wenig umgesetzt. Ihre Privatheit sahen die Teilnehmer in Mehrbettzimmern sowie in Situationen des Ankleidens und bei der Verrichtung der Ausscheidungen nicht respektiert. Es ist anzunehmen, dass ältere Menschen wegen Informationsdefiziten, durch ihren Hilfsbedarf und durch die festgelegten Organisationsstrukturen der Pflegeeinrichtungen eine passive Krankenrolle übernehmen. Es wäre denkbar, dass die Autonomie der älteren Menschen gefördert werden könnte, wenn die Pflegekräfte sie in der Rolle des Fürsprechers bei selbstbestimmten Entscheidungen unterstützen würden. Bei den pflegerischen Interventionen würde die Umsetzung des Prinzips der «informierten Zustimmung» sowohl die Autonomie als auch die Respektierung der Privatheit fördern. Es ist außerdem anzunehmen, dass durch Flexibilisierung der Organisationsstrukturen der Pflegeeinrichtungen die Autonomie und Lebensqualität der älteren Menschen gefördert werden könnte.

Whither informed consent to psychotherapy?

1985 ◽  
Vol 40 (9) ◽  
pp. 1062-1063 ◽  
Author(s):  
Joseph Graca
Keyword(s):  
Informed Consent

Informed Consent in Clinical Practice

1990 ◽  
Vol 35 (1) ◽  
pp. 38-39
Author(s):  
Stephen L. Golding
Keyword(s):  
Clinical Practice ◽  
Informed Consent
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