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CATASTROPHIC INJURIES RESOURCE CENTER
Informed Consent in Cases of Medical Malpractice
If you were injured as the result of a medical procedure or
medication, the concept of informed consent will likely arise in
any claim for your injuries that you bring against a medical
professional. In many situations where medical care or treatment
is provided to an individual, medical professionals are required
to obtain the patient's "informed consent." Although the
specific definition of informed consent may vary from state to
state, it means essentially that a physician (or other medical
provider) must tell a patient all of the potential benefits,
risks, and alternatives involved in any surgical procedure,
medical procedure, or other course of treatment, and must obtain
the patient's written consent to proceed.
The concept of informed consent is based on the principle that a
patient has the right to prevent unauthorized contact with his
or her person and, thus, a physician has a duty to disclose
information to the patient so that he or she can make a reasoned
decision regarding treatment, based on an understanding of the
treatment to be provided. In many situations, the failure to
obtain informed consent is a form of medical negligence, and may
even give rise to a cause of action for battery. In certain
situations, informed consent is an absolute necessity. For
example, in any medical trials or experiments that receive
federal funding, informed consent must be obtained from any
human participant or subject.
The Role of the Physician
Physicians themselves, rather than a representative, nurse, or
other related health care professional, are the best choice to
speak to patients about informed consent. In discussing the
matter with a patient, the physician should cover:
- The
patient's diagnosis, if it is known
- The
nature and purpose of the proposed treatment or
procedure, as well as the procedure's likelihood of
success
- The
benefits and risks of the proposed treatment or
procedure
- The
alternatives to the proposed treatment or procedure
-
Alternatives to the treatment or procedure should be
discussed regardless of their cost and regardless of
whether they will likely be covered by the patient's
health insurance
- The risks
and benefits of an alternative treatment or
procedure
- The risks and benefits of not receiving or undergoing any
treatment or procedure
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A physician should also ensure that patients understand what
they're hearing. In fact, some hospitals now require physicians
to participate in courses on communication skills. The patient,
or the patient's legally authorized representative consenting to
the treatment on the patient's behalf, must sign and date the
informed consent documents, and must be given a copy of the
informed consent documents once they are signed and dated. A
copy of those documents should also be placed in the patient's
file.
The Role of the Patient
Although a physician is required to inform a patient about
benefits, risks, and alternative treatments, patients must also
play a part in the informed consent process. Patients must
listen to the physician and should ask questions of the
physician if they do not understand, or if they would like more
detailed information.
Types of Consent: Express and Implied
Informed consent may be either "express" or "implied." Express
consent is given in writing or verbally. If a patient's consent
is written, it should include the name of the health care
professional who discussed the proposed treatment with the
patient, the name of the health care provider who is to perform
the procedure, and the date, time and location where the consent
form was signed.
Consent not given by a patient in writing or verbally, but
understood from the circumstances surrounding the procedure or
treatment at issue, is known as implied consent. Consent may be
implied when, for instance, a patient presents him or herself
for a relatively simple, non-invasive procedure. Consent is also
usually implied for necessary procedures a surgeon might perform
in the course of a surgical procedure to which the patient did
consent.
Situations in Which Informed Consent May not be Necessary or
May be Implied
-
Situations Not Involving
Medical Procedures or Treatment. Not all situations
require that informed consent be given. For example,
although listening to a heartbeat through a
stethoscope may be considered a "treatment" or
"procedure," to some people (especially those who
are uncomfortable in physician's offices), it's rare
that a physician and patient would have a lengthy
discussion about the benefits and risks of listening
to a heartbeat using that device.
- Emergency
Situations: In emergency situations, there is not
always time to obtain a patient's informed consent,
or the patient may be unconscious and unable to
communicate. If an emergency involves risk to the
patient's life or the patient is unable to
communicate, consent may be implied under the
rationale that the patient would have consented to
emergency treatment.
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Obtaining Consent from
Incompetent Individuals and Minors
When a competent adult seeks medical treatment, the process of
obtaining informed consent may seem relatively easy. However, in
situations where mentally disabled individuals or children need
treatment, the ability to obtain informed consent becomes more
difficult. In these situations, serious questions arise
concerning who is able to give informed consent for those
individuals.
In most cases, a mentally disabled person has an appointed
guardian authorized to make medical decisions and give informed
consent for that individual. Medical providers need to make sure
that when they obtain informed consent for incompetent
individuals, they have obtained it from the correct person or
persons.
In most situations, parents can give informed consent for
treatment for their minor children. However, some states allow
young adults under eighteen to play a more active role in their
medical care and treatment, including the process of informed
consent. Not every teenager is capable, however, of making
informed consent decisions under these laws. Instead, most
states focus on "mature minors" sufficiently ready to understand
the nature and consequences of treatment. In those states, such
young adults may be able to provide consent without consulting
with their parents. For example, some states have passed
specific laws that allow for minors to consent, without parental
knowledge or approval, to health care treatments related to
substance abuse, mental health, and sexual activity.
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If you or your loved one is suffering from a catastrophic injury
sustained in an auto or truck accident, in an electrical
accident, in a fire or explosion, at work, as a result of a
defective product, or due to medical malpractice,
contact us to schedule a FREE
CONSULTATION. We are available to meet
with you in the evening or on weekends and we can travel to your
home or hospital.
Texas Personal Injury &
Wrongful Death Attorneys
Also Serving Clients in Arizona, New Mexico, Colorado, Oklahoma
& California
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