medical consent

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medical consent by Mind Map: medical consent

1. Introduction

1.1. What?

1.1.1. Taking permission from the patient

1.1.1.1. - Informing the patient of the options

1.1.1.2. - Giving him sufficient information to decide

1.1.1.3. - Only by the attending physician

1.2. Why?

1.2.1. Autonomy

1.2.1.1. - Deciding what to be done to your body

1.2.1.2. - Basic human right

1.2.1.3. - Your decision, no matter how ridiculous!

1.3. When?

1.3.1. Every time you touch a patient!

1.3.2. Types of consent

1.3.2.1. Implied

1.3.2.2. Express

1.3.2.2.1. Oral

1.3.2.2.2. written

2. Exceptions

2.1. No consent

2.1.1. Emergency

2.1.1.1. - Life threatening situation

2.1.1.2. - Possible serious health impairment

2.1.1.3. - Impossible to obtain the patient's consent

2.1.1.4. - It's presumed that treatment is wanted.

2.1.1.5. - Unless there are directions in advance

2.1.2. Extension Doctrine

2.1.2.1. - Unexpected additional care

2.1.2.2. - Not convent to take a new consent

2.1.2.3. - Preceding consent is extended

2.1.2.4. Unless:

2.1.2.5. It may affect reproduction

2.1.2.6. Patient previously refused care

2.2. Consent from others

2.2.1. minors

2.2.1.1. - Under 15 years old (Hijri)

2.2.1.2. - The guardian or custodian decides

2.2.1.3. - Must act in the best interest of the minor

2.2.1.4. - Minor's wishes have to be considered

2.2.1.5. - Court may take over the guardianship

2.2.2. incompetence

2.2.2.1. - Inability to make in informed decision

2.2.2.2. - Inability to comprehend the risks and benefits

2.2.2.3. - Communication issues are NOT under this criteria.

2.2.2.4. - Guardian required (substituted consent)

2.2.2.5. - Sometimes court order also required

2.2.2.6. Case study (true or false)

2.2.3. court order

2.2.3.1. - Example of a single dad refusing treatment

3. Components of Informed Consent

3.1. competency

3.1.1. - Ability to understand and explain the options

3.1.2. - Ability to give reasons to choose an option instead of the other

3.2. autonomy

3.2.1. - The right to refuse, regardless of the reason

3.2.2. Religion, skepticism, other..

3.3. understanding

3.3.1. explanation

3.3.1.1. Introduction

3.3.1.1.1. - Introducing yourself

3.3.1.1.2. - Diagnosis

3.3.1.1.3. - Name of the advised treatment

3.3.1.2. Explaining

3.3.1.2.1. - Nature and purpose of the treatment

3.3.1.3. Benefits and risks of treatment

3.3.1.4. Alternatives

3.3.1.4.1. - Other options for treatment

3.3.1.4.2. - May include their risks and benefits too

3.3.1.5. consequences of refusing the treatment

3.3.1.5.1. - The right to refuse treatment

3.3.1.5.2. - Consequences of that right (serious injury, death)

3.3.1.5.3. - May have to sign AMA form (against medical advice)