Obtaining Consent Flashcards
Autonomy
Freedom to make one’s own choices and take actions based on one’s own personal values and beliefs
Fidelity
Fulfilling one’s responsibility of trust
What is the importance of autonomy and fidelity
- fundamental to consent
- in order to have autonomy you must have fiduciary relationship so there is trust
What does personal autonomy encompass
Self rule free from controlling interference by others and from certain limitations such as inadequate understanding that prevents meaningful choice
What are 2 conditions often considered and essential for autonomous decisions?
- Liberty (independence from controlling influence)
- Agency (capacity for intentional action)
Freedom + capacity
What is the authenticity condition
Values which guide actions and decisions of autonomous persons must be authentically “their own”
What are the 5 conditions of the authenticity condition
- Right to informed consent and right to include family
- Not pressured
- Granting of family decision making is authentic
- Family is willing
- Family is well motivated
What is respect for autonomy
A professional obligation
Autonomous choice is a right not a duty
Is autonomy the primes inter pares of the 4 main ethical principles
Autonomy is necessary component of the other 3
- people vary in individual perceptions of benefits and harms (beneficence and nonmaleficence)
- people are morally bound to laws, need to autonomously accept or reject (justice)
What cases is respect for autonomy overriden
- Someone has inadequate decision making skills
- age/children
- diminished capacity/dependent adult - When it conflicts with other principles
When is respect for autonomy conflict with other principles
If public health is endangered
If there is potential harm to innocent others
If scarce resources are required
What is the process of informed consent
Includes written and verbal processes
Enthusiastic yes
What are examples of things included on consent forms
- Expectations
- Credentials
- Contact info
- Purpose
- Option to withdraw
- How to rescind consent
How is fidelity and consent intertwined
Effective informed consent processes require trusting and collaborative relationship between professionals and clients