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Patient's religious beliefs require him to refuse blood transfusions or blood products. Physicians have an obligation to share in providing charity care, but not to the degree that would seriously compromise the care provided to existing patients. Ignore the patient because after the procedure has started, it is too late to withdraw consent. Determine whether it is medically feasible to discontinue the treatment. Continue treatment while trying to convince the patient to change his mind. The patient must act or use language which can be subject to no other inference and which must be unquestioned responses from a clear and rational mind. Refusal on these grounds may also violate anti-discrimination laws. Feedback: When medical treatments or examinations occurring with the patient's consent are proceeding in a manner requiring bodily contact between the doctor and the patient, and consent to the contact is withdrawn, it must be medically feasible for the doctor to stop the treatment or examination at that point without being detrimental to the patient's health or life. Which of the following terms describes the type of consent given?
What is the primary purpose of the informed consent process? Physician is a prominent gastrointerologist in the state. If there is no relationship, there is no liability for medical malpractice. If there was no longer a need for his services, the physician-patient relationship terminated, and there is no liability if the alleged negligence occurred after the relationship was terminated. However, other jurisdictions may find liability for on-call physicians who refuse or fail to treat a patient. Physician's mother is having chronic gastrointestinal problems. Trust is a critical element in the physician-patient relationship. Recommend another qualified physician to treat his mother while continuing to act as a loving and concerned adviser. A physician may lack objectivity when the patient is someone close to the physician, and the patient may not be as forthcoming about his or her medical problems. The incorrect choices reflect much weaker positions in arguing that the physician-patient relationship existed. Physician performs the procedure, and Patient sustains severe injury. Which of the following is Specialist's strongest defense? Specialist was retained to give a second opinion, and the strongest defense is that the need for his services ended after he gave that opinion. Patient's family sues the hospital, the ER physicians, and Cardiologist. Feedback: Generally, some courts have been unwilling to hold a physician liable if the physician has never examined the patient or directed the patient's care. Implied Feedback: Physicians are not required to obtain written, express consent for each patient encounter. Please note: Do not confuse this type of implied consent with Tennessee's implied consent law that states: Any person who drives any motor vehicle in the state is deemed to have given consent to a test for the purpose of determining the alcoholic or drug content of that person's blood; provided, that such test is administered at the direction of a law enforcement officer having reasonable grounds to believe such person was driving while under the influence of an intoxicant or drug, as defined in § 55-10-405. Patient has been Physician's patient for 10 years, but is considering changing physicians. What is Physician's preferred course of action in this situation? Thus, the physician may be subject to disciplinary action for unethical conduct. In Tennessee, as well as in many other states, a non-physician has no duty to obtain informed consent.
The report shows that Employee has a suspicious spot on his lung. Physician owes no duty to Employee because there is no physician-patient relationship. Physician should send Employee a copy of the test results with a clear explanation of the potential problem and encourage him to seek medical help. However, the American Medical Association maintains that the ethical course of action is to notify the patient of any adverse test results. The attending physician Feedback: The physician may delegate the task of getting informed consent, but the ultimate responsibility remains with the physician who performs the procedure or under whose direction a non-physician performs it.
Feedback: If the medical treatment or procedure involves a material risk of harm to the patient, the informed consent process should educate the patient about (1) the diagnosis; (2) the nature and purpose of the proposed treatment; (3) the material risks generally recognized and accepted by reasonably prudent physicians; (4) the likelihood of success; (5) the practical alternative treatments and their risks, benefits, and likelihood of success; and (6) the prognosis if the proposed treatment is not received. Requires educating the patient about the prognosis and material risks resulting from the patient's choice not to get the diagnostic test or proposed treatment. Informed refusal acknowledges patient autonomy in deciding what medical treatment to reject. For example, if the mole is huge, and there is a risk of a disfiguring scar, the physician may want to obtain informed consent. The type of consent when a patient voluntarily submits to a procedure with actual or apparent knowledge of what is about to transpire. In Tennessee, of the following, who has the highest priority to consent to medical treatment on behalf of patient?
Acknowledges patient autonomy in deciding what medical treatment to reject. There may be similar cases where informed consent is appropriate. Patients who are illiterate or who do not speak English will learn nothing from a written form. Patient lacks the capacity to understand, make, or communicate his health care decisions.
"Absent a court order to the contrary, a health care decision of an agent takes precedence over that of a guardian." The question assumes that the court order appointing the guardian did not revoke the health care agent's authority. If a resident or other physician is to perform the operation under non-participatory supervision, it is necessary to make a full disclosure of this fact to the patient, and this should be evidenced by an appropriate statement contained in the consent. Yes, because the consent form covers every potential contingency.
Health Care Agent Feedback: Tennessee Code Section . However, the AMA's Code of Medical Ethics, Section 8.16, states that "a surgeon who allows a substitute to operate on his or her patients without the patient's knowledge and consent is deceitful." The Code further states: "With the consent of the patient, it is not unethical for the operating surgeon to delegate the performance of certain aspects of the operation to the assistant provided this is done under the surgeon's participatory supervision, i.e., the surgeon must scrub. "I consent to the performance of operations and procedures in addition to or different from those contemplated, whether or not arising from presently unforeseen conditions, which the above named physician or his associates or assistants may consider necessary or advisable in the course of the operation." a.
In some states, this question has turned on whether the consent form signed by the patient was broad enough to cover the surgeon actually performing the surgery. Does the following clause in the consent form signed by patient cover this additional procedure? No, because the patient was not aware the surgeon was going to remove his left testicle.