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medical consent by Mind Map: medical consent

1. Introduction

1.1. What?

1.1.1. Taking permission from the patient - Informing the patient of the options - Giving him sufficient information to decide - Only by the attending physician

1.2. Why?

1.2.1. Autonomy - Deciding what to be done to your body - Basic human right - Your decision, no matter how ridiculous!

1.3. When?

1.3.1. Every time you touch a patient!

1.3.2. Types of consent Implied Express Oral written

2. Exceptions

2.1. No consent

2.1.1. Emergency - Life threatening situation - Possible serious health impairment - Impossible to obtain the patient's consent - It's presumed that treatment is wanted. - Unless there are directions in advance

2.1.2. Extension Doctrine - Unexpected additional care - Not convent to take a new consent - Preceding consent is extended Unless: It may affect reproduction Patient previously refused care

2.2. Consent from others

2.2.1. minors - Under 15 years old (Hijri) - The guardian or custodian decides - Must act in the best interest of the minor - Minor's wishes have to be considered - Court may take over the guardianship

2.2.2. incompetence - Inability to make in informed decision - Inability to comprehend the risks and benefits - Communication issues are NOT under this criteria. - Guardian required (substituted consent) - Sometimes court order also required Case study (true or false)

2.2.3. court order - 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 Introduction - Introducing yourself - Diagnosis - Name of the advised treatment Explaining - Nature and purpose of the treatment Benefits and risks of treatment Alternatives - Other options for treatment - May include their risks and benefits too consequences of refusing the treatment - The right to refuse treatment - Consequences of that right (serious injury, death) - May have to sign AMA form (against medical advice)