The professional values that I have chosen to reflect on is consent. Using Driscoll (2007) model of reflection which is components circle involves three events: what? So what? Now what? A reflection account will focus on my experience of working in the surgical ward. Confidentiality will be maintained as the British Medical Association (BMA,2016) states that “All identifiable patient information, whether written, computerised, visually or audio recorded or simply held in the memory of health professionals, is subject to the duty of confidentiality”, hence pseudonym will be used and the patient will be referred to as Mr Eric.
WHAT?
Mr Eric’s is a patient who has been admitted to a surgical ward. he suffers from oozing wound and the doctor has
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Consent is patients’ rights because they have right to know what is happening to their life which is fundamental value in professional practice (Department of Health (DH), 2001). Dougherty and Lister (2015) state that consent is a patient’s rights to refuse or to accept a treatment. However, Dimond (2010) said that consent is a voluntarily decision which can be given orally, verbally, written or implied for example if you ask a patient to take their blood pressure and they offer their arm. Eyal (2012) also states that consent promote trust in medical procedures that people may seek and comply with medical advice and participate in medical research. Bok (2013) argues that there are problems with the trust-promoting as many patients give consent despite being to some extent distrustful. Healthcare professionals must work on the assumption that every patient has the capacity to make decisions about their care, and to decide whether to agree to, or refuse, an examination or treatment. However, in the case that patients are deemed to be lacking capacity the Mental Capacity Act (2005), The Adults with Incapacity (Scotland) Act (2000) legislations must be followed (General Medical Council, 2008).
Gaining consent before providing care or treatment to any patient is very important because patient requires
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Public Health England (2017) states that “Consent to treatment is the principle that a person must give permission before they receive any type of medical treatment, test or examination. This must be done on the basis of an explanation by a clinician”. Selinger (2009) also mentions that patient consent in required regardless of the procedure whether physical or something else as the consent principle is an important part of medical ethics and the international human rights. For example Mr Eric was asked several times and given time to think about the procedure which was going to take place and who was going to do it and the procedure was clearly explained to him to make an informed decision. British Journal of Medical Practitioners (Bjmp) (2017) recommends that consent must be voluntary, valid and informed, and the person consenting must have the capacity to make the decision. Therefore all health care professionals are required to provide treatment when patient has given consent voluntarily either consent or not to consent, given full information of the risks benefits and alternatives of the procedure
1.1.1 Ethical Considerations Given that the client participant group is characteristically different to those implementing services, a separate section for ethical considerations was contemplated. As before the DH Research Governance Framework for Health and Social Care (2005) and BACP Ethical Framework (BACP, 2013) were consulted for guidance. Many of the same procedures regarding informed consent, confidentiality, data protection, and right to withdraw were re-enacted (see section Interviewing those Implementing Services: Ethical Considerations above). However, it is recognised that this sample represents a potentially vulnerable group, meaning certain approaches were altered to ensure the minimisation of harm. 1.1.1.1
Patient Privacy and Consent Hinders Medical Advancements In the medical world, many disagreements revolve around the idea of patient privacy and consent. Some say it is an unethical act to not inform a patient on research that will be done on their cells. I say without informing the patient and avoiding possible risks of not being able to conduct life-saving research, many discoveries would be made. Consent for certain things would hinder advancements, and create a gap in medical development and progress that could possibly save someone’s life.
In some cultures, family members make treatment decisions on behalf of their loved-ones. Provided the patient consents to this arrangement and is assured that any questions about his/her medical care will be answered, the physician may seek consent from a family member in lieu of the patient.”
Immortal Henrietta Informed consent is an ethically important aspect of medical care; patients must be fully informed of any and all possible risks and benefits from receiving medical treatment, participating in medical research as a subject, or donating live tissues to be studied. Only after receiving and understanding all of the necessary information can a patient give consent; if the patient does not consent, for whatever reason, then it is both illegal and unethical to follow through with treatment, research, or taking samples (O’Neill, 2003). However, particularly in regard to taking tissue samples, some doctors seem to think that what the patient doesn’t know won’t hurt them. One example of this is Henrietta Lacks and HeLa cells.
This type of consent today is at most unfair, how is someone supposed to understand an endless amount of material that they know nothing about . Who is going to even read those 40 pages ? Most people will just sign and not go through the hassle of understanding , and the doctors should keep that in mind when asking the patient for permission . There are some that also say that the patient should understand and it’s their problem if they don’t. This point is easily unrealistic , because it is suggesting what basic knowledge of every person should have, which reveals that it’s more opinion than
However, the process is certainly not perfect. Many patients do not fully understand what exactly it is they’re signing. Nonetheless, physicians must explain to patients to the best of their abilities. Informed consent is a vital process. Although most people are willing to help with research that will positively contribute to the future of medicine, a majority would be appalled to discover
However, the lack of informed consent has raised ethical concerns and led to the establishment of guidelines for obtaining consent in medical research. Today health care providers have a responsibility to obtain informed consent from patients before conducting any medical
We need to be able to understand what the nature of the procedure is and what it details. It’s also good to discuss other types of alternatives. Informed consents can also bring up certain topics about the risk that can be involved with the procedure. As healthcare professionals it is part of our job to help look after the patient and make sure that all legal documents are in order.
Informed consent must never be assumed. On the other side of the spectrum, informed refusal is the patient's right to deny any of the services recommended. From a legal standpoint, it is important to always document informed consent and refusal to avoid any legal
For instance, the practitioners are obligated to constantly inform the participants about plans that pertains to interventions (Reamer, 1987). In addition, it is essential for informed consent to include the following: “What is done, the reasons for doing it, clients must be capable of providing consent, they must have the right to refuse or withdraw consent, and their decisions must be based on adequate information” (Kirk & Wakefield, 1997, p. 275). One of the most dehumanizing incidents that occur is the researchers prohibit the participants’ self-determination. For example, the men were compliant with receiving treatment and to be examined by the physicians.
They were not educated so when the doctor would say something scientific they would trust every word while not even understanding what he was saying. This part of informed consent was stressed throughout the book because in today’s society most people have enough education to have a general idea what is going on when they are at the hospital about to have a procedure done, making it seem
Participation Portfolio 1 Asst 3: Henrietta Lacks Discussion Questions Please answers each of the following questions, and be prepared to discuss in class 1. Please outline the history of Henrietta Lacks 's tissue cells. Who did what with the cells, when, where and for what purpose? Who benefited, scientifically, medically, and monetarily?
The following reflection piece is based on an event which I experienced during my internship placement. Johns model of reflection will be used for this assignment. The reflection is based around my own personal experience with a terminally ill patient. It focuses on one main issue, providing hope for patients and how I felt about it. it also discusses my feelings, the knowledge I had, my knowledge gaps and what I learnt through literature during my reflection.
Informed consent. A.2.b. Types of information needed. A.4.a. Avoiding harm.
Patients have a right to complain about the doctor's refusal to the Management. Provision of Treatment requires patient’s choice and informed consent. Even if a patient has signed a general consent clause, the patient can still refuse medical treatment or procedures. However, in exceptional or emergency situations a doctor may be legally justified in performing surgery or providing treatment without the patient's consent. The patient should be competent and capable of making such a decision to give a consent.