Biomedical Ethics SWAG SWAG SWGA SGWA GSWG AGSWG AGSWAGSAHSBAWHSAS GSWGAYS PDF

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Module 2, chapter 2 Notes from lecture What is informant consent? (Fade-in and Beauchamp) -voluntary consent to a treatment made by a competent patient or surgote/repres who is adequately informed of all relevant info pertain to the treatment and its alternatives Sense1: Autonomous authorization Requires: -substantial understand -substantial absence of controls by others -intentional -authorize professional Sense2: Effective consent Requires: -policy orient -legal/institutionally effect authorization -obtained by using a particular set of accepted procedure RELATIONSHIP btwn -can have effective authorization without autonomous authorization(ie. sign without knowledge) -autonomous authorization without effective authorization (sister underage said yes take my kidney)

Brody’s Transparency -informed consent is ONLY one, imp for good medicine practice -view of physicians ‘bureaucratic legalism’ -alternatives for treatment are often downplayed -differences between primary care vs other forms of medical care (no way to sum up everything you need in a video, more questions on the fly) BRODY REJECTS: -community practice standard -based on what others in the field doing -too paternalistic -reasonable patient standard -reason. Patient requires ‘all’ the info -standard requires far too much to disclose for wrong reasons (covers doctors butt, he legally disclosed) LIKES -metaphor from Jay Katz -conversation between patient and physcician -conversation, time and care -TAKES SO MUCH TIME, don’t have in primary medicine ALTERNATIVE -transparency standard -adequate informed consent is when a reasonable patient is allowed to participate in medical decision to the extent patient wishes -ie. can participate, also no

-can trust doctor, has to make transparent reasons for treatment -GOOD compromise; allows communication without HUGE time as conversation...