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Informed Consent

The document discusses informed consent and its key elements and guidelines. There are 3 major elements for informed consent: it must be given voluntarily by a client who has the capacity and competence to understand the information provided, and the client must receive enough information to make an informed decision. Informed consent involves providing details on diagnosis, treatment procedures, risks and benefits, alternatives, and prognosis. Special considerations are given for cultural perspectives, language barriers, competence, and situations where consent cannot be provided such as for minors, unconscious patients, and those with mental illness. The nurse serves as a witness to ensure all elements and guidelines of informed consent are followed.

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TaraKyleUy
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74 views

Informed Consent

The document discusses informed consent and its key elements and guidelines. There are 3 major elements for informed consent: it must be given voluntarily by a client who has the capacity and competence to understand the information provided, and the client must receive enough information to make an informed decision. Informed consent involves providing details on diagnosis, treatment procedures, risks and benefits, alternatives, and prognosis. Special considerations are given for cultural perspectives, language barriers, competence, and situations where consent cannot be provided such as for minors, unconscious patients, and those with mental illness. The nurse serves as a witness to ensure all elements and guidelines of informed consent are followed.

Uploaded by

TaraKyleUy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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 Nurse as witness

Informed Consent  For voluntary consent of the patient


 If signature is authentic
 If patient appears competent
- Agreement by a client to accept a course of
treatment or procedure after being provided the  Cultural perspective needs to be considered
 The nurse can provide culturally competent
complete information:
o Benefits and risks care by asking if there is someone they
o Alternatives would like to be present when information
or discussion of their health care
o Prognosis
- The form is a record of the informed consent, not treatment occurs
 It is important that the patient understands
the informed consent itself
 If patient cannot see, consent must be
- The right of consent also involves the right of
read out loud
refusal
 If patient cannot speak the same
language, interpreter or professional
3 Major Elements translator must be present
 If given sufficient info, a competent adult can
a. Given voluntarily make decisions regarding health
b. Client has capacity and competence to understand  Over 18 years old
c. Client must be given enough info to be the  Confused, disoriented, or sedated is
ultimate decision maker INCOMPETENT
General Guidelines (reasonable amount of info)
 The diagnosis/condition requiring treatment Groups that cannot provide consent:
 Purpose of treatment a. minors
 What client can expect to feel/experience o Parent/guardian must give consent
 Intended benefits of treatment o This includes adults with mental capacity of a
 Possible risks of treatment child
 Advantages and disadvantages of possible o Certain groups are allowed: married, pregnant,
alternatives military members, emancipated
b. unconscious/injured
2 Types o Obtain info from closest adult relative
1. Expressed Consent o In life-threatening situations, law agrees
o Oral or written consent consent is implied
o More invasive the procedure and/or greater c. mentally ill
the risk, greater the need for written consent o Judged by professionals to be incompetent
2. Implied Consent
o When individual’s nonverbal behavior indicated
agreement
o In medical emergency

 Obtaining informed consent for specific medical and


surgical treatment is the responsibility of the
person who is going to perform the procedure
 Generally the physician

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