informed consent Flashcards
what is informed concent?
Informed concent is:
- The adequate disclosure of information and adequate comprehension by patients or surrogates of what is disclosed
- and the voluntary decision or agreement on the part of a competent person.
The legal standard for ______ includes:
the pt. diagnosis
the nature and purpose of a treatment
risks/benefits
alternatives to the treatment
risks and benefits of not receiving the treatment
conflicts of interest
The legal standard for disclosure includes the
diagnosis
nature of treatment
risks/benefits
alternatives to treatment
risk/benefit for no treatment
conflict of interest
How do we ensure the patient understands?
Promote shared decision making
encourage the pt to play an active role in the decision by giving opinions and perspectives about the dx. build a partnership
ensure that patients are informed
protect the pt’s best interest
try to persuade patients
what is the definition of voluntary?
A person’s decision is voluntary if it is free from coecion or manipulation
coercion: when one person intentionally uses a credible and severre threat of harm or foce to control another
manipulation: getting peole to do what the manipulator wants by means other than coercion or persuasion
a patient or subject with substantial understanding and in substantial absence of control by others intentionally authorizes a professional to do something
concent
How do we ensure that the patient is competent to make a decision?
a patient must have:
capacity to reach a decision based on rational reasons
capacity to reach a reasonable result through decision
the capacity to make a decision at all
**A person is competent if and only if that person can make reaasonable decisions based on rational reasons**
