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London: BMA, General Medical Council. Good Medical Practice. London: GMC, World Medical Association. Medical Ethics Manual. Protect life and health and respect autonomy with fairness and justice.
Haematological disease 9. Malignant disease Palliative medicine and symptom control Rheumatology and bone disease Kidney and urinary tract disease Water, electrolytes and acid-base balance Cardiovascular disease Respiratory disease Critical care medicine Drug therapy and poisoning Environmental medicine Endocrine disease Indeed, in deciding what information to disclose to patients about risks, clinicians may know little about how they perceive their interests.
Since it is the health and lives of patients that are potentially at risk, the moral focus of such disclosure should be on what is acceptable to them rather than to the medical profession. Here consent is given explicitly in relation to specific information about the proposed treatment.
Consent to lesser forms of physical intervention e. Clinicians should always remember that a signed consent form is not legal or professional proof that proper express consent has been obtained. Informed consent should be viewed as an educational process.
Signed consent forms are symbols of the completion rather than the success of this process. Consent may also be implied by the fact that the patient accepts treatment without question, protest or any other physical sign that might be associated with rejection.
Implied consent is ordinarily given against the background of an express consent to a specific treatment, which has already been obtained. For example, once patients have given their express consent for being connected to a drip, there is no need for them to give further consent whenever its contents are replenished.
Patients have not given their implied consent to a specific treatment simply because they have presented themselves for care in a hospital. They must be given appropriate information about the proposed care and provide express consent to it. Patients and doctors should make decisions in a spirit of partnership. Medical students or their supervisors should always obtain the explicit consent of patients to provide case histories or to be examined for purely educational purposes.
Students should always make it clear to patients that they are not qualified doctors. Confidentiality If clinicians violate the privacy of their patients, they risk causing harm rather than protecting patients from it.
These rights are protected by common and statute law. Doctors who breach the confidentiality of patients may face severe professional and legal sanctions. Respecting confidentiality in practice Patients should be informed of the ways in which information about them will need to be shared with other clinicians and healthcare workers involved in their treatment. On the basis of this information, unless patients state the contrary, they give their implied consent for this information to be shared.
Where patients object to particular information being shared, their wish should be respected unless this interferes with the successful execution of their treatment. Information should be sought from patients as early as possible about whom they would wish to be given information about their condition and treatment. A note should be made of their wishes in the clinical record. In almost all clinical circumstances, therefore, the confidentiality of patients must be respected.
When confidentiality must or may be breached The principle of privacy in medicine is not absolute. Sometimes, the law dictates that clinicians must reveal private information about patients to others in contexts that they may or do object to. At other times, they have the discretion to do so, in accordance with good professional practice. Both circumstances highlight the difficult ethical tension, which can be posed between the rights of individual patients and the interests of the public.
The right to privacy does not entail the right to harm others in exercising it. In all these circumstances, patients should be informed of any intent to breach their confidentiality, unless doing so may place the clinician or others at risk of serious harm.
Clinicians should always remember that they are professionally accountable for discretionary breaches and may be asked to justify in court, or by the GMC in the UK, their decision either to disclose or not to disclose. Respect for autonomy in the treatment of vulnerable patients We have seen that for consent to treatment to be valid, patients must be competent to give it. If you are ready to pay, you can get full material on Olx, Quikr with hard copy. Narayana, P. Download the eBook and work hard for your upcoming exams.
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This is the most common questions in mind of every student who wants to prepare for chemistry. Previous Years Gate Papers. Similar Threads: The results of physical and chemical analyses of the leachate samples are presented in Table 1. Heat is absorbed or released when the material changes from solid to liquid and vice versa; thus, PCMs are classified as latent heat storage LHS units.
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