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At least 37 records · Page 2Linked to original sources
PubMed1979

Informed consent for neuroleptic therapy.

The author suggests that the frequency and severity of tardive dyskinesia in patients treated with neuroleptic drugs requires that informed consent be obtained from all patients receiving such treatment. The three basic conditions for obtaining informed consent are reviewed with discussion of some of the ethical problems encountered in the informed consent procedure. Most of these problems will be resolved if specific, written, informed consent is obtained from the patient, or his representative, within six weeks of initiating therapy, although in some cases questions may be raised about the very possibility of obtaining consent.

Antipsychotic Agents↗
PubMed1977

Informed consent and confidentiality: proposed new approaches in Illinois.

The author examines the basic background and definitions of the issues of consent and, more particularly, informed consent to relinquishing the privacy of mental health records. He sets these issues in the context of some of their specific inherent problems and describes possible solutions suggested by the State of Illinois Governor's Commission To Revise the Mental Health Code.

Confidentiality↗
PubMed1975

Informed consent and its implications in family practice.

The doctrine of informed consent has had its practical introduction to medical malpractice litigation in the past five years. Its definition has not changed since the days when its definitive application was only a fond dream of the malpractice plaintiffs attorneys. However, with neh new methods of presenting this theory to the courts, and with the newly emerging practice fo having rulings on matters of law substituted by judges for prevailing standards of medical practice, the implications for family physicians have become tremendous. Hopefullum by understanding the principles involved in its application in the pertinent landmark cases, family physicians will be better able to abid the pitfalls engendered by the doctrine of informed consent.

Adolescent↗
PubMed1977

Informed consent in California. Latent liability without 'negligence'.

Informed consent is a legal obligation due from a physician to his patient, an obligation which may not be met by the physician's skillful treatment of his patient. It may only be met by the treating physician obtaining from his patient knowing authorization for carrying out the intended medical procedure. The physician is required to disclose whatever would be material to his patient's decision, including the nature and purpose of the procedure, and the risks and alternatives. The disclosures should be made by the physician to his patient, and not through use of consent forms which are not particular to individual patients. To minimize any subsequent claim by the patient that there was a lack of adequate disclosures, the physician should record in the patient's chart the circumstances of the patient's consent, and should not rely on the patient's unreliable ability to recall those circumstances.

California↗
PubMed1979

Patient recall of informed consent.

The protection of human subjects in research is a shared responsibility. The informed consent procedure was introduced to implement protection of the subjects. The contents of consent forms have been in dispute, and the impact of the procedure on the human subject has caused concern. It was demonstrated that patients with cancer have poor recall of the contents of a signed consent form.

Consent Forms↗
PubMed1979

Bioethics and informed consent in American health care delivery.

Bioethics is a multi-dimensional discipline. The traditional aspect being medical ethics, a branch of Western philosophy which, since the time of Hippocrates, has sought to formulate rules of proper conduct for physicians. Ethics and informed consent are interrelated issues. Consent is the central issue on which hangs most of the ethical problems in human experimentation. The informed consent of the human patient is the ultimate protection from the hazards of research and therapy in medicine, the basic premise of this being that every human being has the right to determine what shall be done to his own body. The patient must have full prognosis, complications, sequelae, discomforts, costs, inconveniences, risks and expectations. Medically and ethically what should the patient be told? There appears to be no obvious format, but the patient should be told enough to allow him to make a rational decision. This paper contains an analysis of the reactions of just a few American nurses to this dilemma. The nurse who attempts to use only her scientific training to determine ethical conduct is in a quandary because seldon is there empirical evidence available to support her decision, no matter what it is.

Bioethics↗
PubMed1975

Controversy, alternatives, and decisions in complying with the legal doctrine of informed consent.

The complexities involved in conforming with the legal doctrine of informed consent at present are seemingly limitless. This communication is designed to acquaint the physician attempting to comply with this legal doctrine with an experience gained during the last four years. The major points are aimed at the most frequently asked questions and decisions involved in its implementation. An alternative approach to the question of how and whom to inform is provided, which may make the task easier for those seeking to inform their patients.

Disclosure↗
PubMed1976

Informed consent--the doctrine evolves.

The physician or the dentist must obtain the informed consent of the patient to perform treatment. The consent obtained should be based on disclosure of those risks sufficiently serious and likely to occur in the contemplated procedure, which, as a reasonable physician or dentist, the practitioner should realize and the patient does not, but which the patient needs to realize to determine whether or not to consent to the procedure.

Disclosure↗
PubMed1979

Written informed consent in patients with breast cancer.

One hundred breast cancer patients, 35 adjuvant and 65 advanced, were interviewed 0-24 months after the start of chemotherapy to assess their knowledge and perceptions of the purposes, risks and benefits of treatment. Prior to therapy, all had been given verbal explanations and had signed informed consent forms explicitly detailing drugs, objectives and possible adverse effects of therapy. Seventeen percent of adjuvant and 29% of advanced patients were unable to name any of their drugs. While most patients recognized distressing side effects such as nausea and hair loss, less than 50% were aware of the potentially lethal complications of infection and bleeding. While the purpose of adjuvant therapy was cure, only 29% of the adjuvant patients were aware of this. In contrast, 35% of the advanced patients incorrectly stated that they were told their therapy was potentially curative. Explanations given by a nurse in addition to a physician were better understood than those given by a physician alone. We conclude that, in spite of intensive efforts at improving informed consent procedures, current results are unsatisfactory.

Adult↗
PubMedDate not supplied

The radiologist and informed consent: a review, comments and proposals.

In summary, the physician's duty to inform has been described and discussed. The minority and majority rule have also been defined and analyzed along with the major causes of physician failure and resistance to disclose risks. In a proper physician-patient relationship, informed consent controversy should be rare. A calm, clear, direct and properly documented disclosure of risks of a procedure is the best defense in any jurisdiction.

Disclosure↗
PubMed1977

Informed consent: a dialogue.

Legal precedents and current approaches of the courts to the issue of informed consent in cases of urographic contrast media injection are considered. Radiologists ought to inform their patients of the possibility of an idiosyncratic reaction to contrast medium injection.

Contrast Media↗
PubMed1976

Informed consent.

Explore the source record for details and available documents.

Disclosure↗
PubMed1976

The psychotherapist and informed consent.

The authors points out that psychotherapists are being increasingly required by law to function as instruments of social control. He believes it is incumbent on therapists to employ full and informed consent procedures with their patients in regard to the effects of providing psychiatric information to potential employers, insurance carriers, and other third parties.

Confidentiality↗
PubMed1976

Informed consent: recall by patients tested postoperatively.

When tested for recall between 4 and 6 months following operation, 20 patients failed to remember accurately major portions of their informed consent interview. Documentation of the details of consent in the clinical record is considered advisable.

Disclosure↗
PubMed1979

Counseling for women requesting sterilization: a comprehensive program designed to insure informed consent.

This paper describes the counseling program implemented by a social worker and a family planning counselor for female clinic patients requesting sterilization. Rather than limiting counseling to the guidelines for informed consent established by New York City law, a comprehensive approach is utilized. The program combines the provision of information regarding the procedure and contraceptive alternatives, with an opportunity for individuals to examine the psychosocial components of their request for sterilization. It is the authors' assessment that such comprehensive counseling is essential to provide individuals with the full assistance they need in making the decision to eliminate reproductive capacity, and that legal guidelines should be expanded accordingly.

Adult↗
PubMed1978

Obtaining informed consent for mental health treatment.

A series of forms has been developed by staff at the Veterans Administration Hospital in Seattle in response to a Washington state law requiring that patients give informed consent to treatment. The forms, which describe the nature of the treatment and possible risks and benefits, follow four models: a single consent form that meets all the needs of a clinical unit; separate consent forms for various services of a clinical unit, such as medication or group or individual therapy; a limited-consent form combined with a brochure or fact sheet; and a consent form combined with a treatment contract. The authors report that use of the forms has required very little additional staff time and has not discouraged patients from entering treatment.

Hospital Bed Capacity, 300 to 499↗