If you were injured as the
result of a medical procedure or medication, the concept of
informed consent will likely arise in any claim for your
injuries that you bring against a medical professional. In many
situations where medical care or treatment is provided to an
individual, medical professionals are required to obtain the
patient's "informed consent." Although the specific
definition of informed consent may vary from state to state, it
means essentially that a physician (or other medical
provider)
must
advise a patient of all
of the potential
benefits, risks, and
alternatives involved in
any surgical procedure,
medical procedure, or
other course of
treatment, and must
obtain the patient's
written consent to
proceed. If you or your
loved one has suffered
catastrophic injuries as
the result of a medical
procedure or medication,
consult an attorney to
learn your rights to
compensation.
The
concept of informed
consent is based on the
principle that a patient
has the right to prevent
unauthorized contact
with his or her body
and, thus, a physician
has a duty to disclose
information to the
patient so that he or
she can make a reasoned
decision regarding
treatment, based on an
understanding of the
treatment to be
provided. In many
situations, the failure
to obtain informed
consent is a form of
medical negligence, and
may even give rise to a
cause of action for
battery. In certain
situations, informed
consent is an absolute
necessity. For example,
in any medical trials or
experiments that receive
federal funding,
informed consent must be
obtained from any human
participant or subject.
The
Role of the Physician
Physicians themselves,
rather than a
representative, nurse,
or other related health
care professional, are
the best choice to speak
to patients about
informed consent. In
discussing the matter
with a patient, the
physician should cover:
-
The patient's
diagnosis, if it is
known;
-
The nature and
purpose of the
proposed treatment
or procedure, as
well as the
procedure's
likelihood of
success;
-
The benefits and
risks of the
proposed treatment
or procedure;
-
The alternatives to
the proposed
treatment or
procedure;
-
Alternatives to the
treatment or
procedure should be
discussed regardless
of their cost and
regardless of
whether they will
likely be covered by
the patient's health
insurance;
-
The risks and
benefits of an
alternative
treatment or
procedure;
-
The risks and
benefits of not
receiving or
undergoing any
treatment or
procedure.
A
physician should also
ensure that patients
understand what they're
hearing. In fact, some
hospitals now require
physicians to
participate in courses
on communication skills.
The patient, or the
patient's legally
authorized
representative
consenting to the
treatment on the
patient's behalf, must
sign and date the
informed consent
documents, and must be
given a copy of the
informed consent
documents once they are
signed and dated. A copy
of those documents
should also be placed in
the patient's file.
The
Role of the Patient
Although a physician is
required to inform a
patient about benefits,
risks, and alternative
treatments, patients
must also play a part in
the informed consent
process. Patients must
listen to the physician
and should ask questions
of the physician if they
do not understand, or if
they would like more
detailed information.
Types
of Consent: Express and
Implied
Informed consent may be
either "express" or
"implied." Express
consent is given in
writing or verbally. If
a patient's consent is
written, it should
include the name of the
health care professional
who discussed the
proposed treatment with
the patient, the name of
the health care provider
who is to perform the
procedure, and the date,
time and location where
the consent form was
signed.
Implied consent is
consent that is not
given by a patient in
writing or verbally, but
understood from the
circumstances
surrounding the
procedure or treatment
at issue. Consent may be
implied when, for
instance, a patient
presents him or herself
for a relatively simple,
non-invasive procedure.
Consent is also usually
implied for necessary
procedures a surgeon
might perform in the
course of a surgical
procedure to which the
patient did consent.
Situations in Which
Informed Consent May not
be Necessary or May be
Implied
- Situations Not
Involving Medical
Procedures or
Treatment. Not all
situations require
that informed
consent be given.
For example,
although listening
to a heartbeat
through a
stethoscope may be
considered a
"treatment" or
"procedure," to some
people (especially
those who are
uncomfortable in
physician's
offices), it's rare
that a physician and
patient would have a
lengthy discussion
about the benefits
and risks of
listening to a
heartbeat using that
device.
-
Emergency
Situations: In
emergency
situations, there is
not always time to
obtain a patient's
informed consent, or
the patient may be
unconscious and
unable to
communicate. If an
emergency involves
risk to the
patient's life or
the patient is
unable to
communicate, consent
may be implied under
the rationale that
the patient would
have consented to
emergency treatment.
Obtaining Consent from
Incompetent Individuals
and Minors
When a
competent adult seeks
medical treatment, the
process of obtaining
informed consent may
seem relatively easy.
However, in situations
where mentally disabled
individuals or children
need treatment, the
ability to obtain
informed consent becomes
more difficult. In these
situations, serious
questions arise
concerning who is able
to give informed consent
for those individuals.
In
most cases, a mentally
disabled person has an
appointed guardian
authorized to make
medical decisions and
give informed consent
for that individual.
Medical providers need
to make sure that when
they obtain informed
consent for incompetent
individuals, they have
obtained it from the
correct person or
persons.
In
most situations, parents
can give informed
consent for treatment
for their minor
children. However, some
states allow young
adults under eighteen to
play a more active role
in their medical care
and treatment, including
the process of informed
consent. Not every
teenager is capable,
however, of making
informed consent
decisions under these
laws. Instead, most
states focus on "mature
minors" sufficiently
ready to understand the
nature and consequences
of treatment. In those
states, such young
adults may be able to
provide consent without
consulting with their
parents. For example,
some states have passed
specific laws that allow
for minors to consent,
without parental
knowledge or approval,
to health care
treatments related to
substance abuse, mental
health, and sexual
activity.At the Law
Offices of Vincent J. Ciecka, P.C. we handle
malpractice associated cases. If you have a
situation where you or someone you know
might be a victim of this type of injury due
to the negligence of someone else, please
contact us as soon as possible to discuss
your specifics and help you determine if
indeed you have a case so you can obtain due
compensation for such injuries.
 
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