|
{\rtf1\ansi \deff0\deflang{\fonttbl{\f0\froman\fcharset0\fprq2 Times New Roman;}{\f1\froman\fcharset2\fprq2 Symbol;}{\f2\fswiss\fcharset0\fprq2 Arial;}{\f3\fnil\fcharset2\fprq2 Wingdings;}{\f4\fswiss\fcharset0\fprq2 Arial Black;}} {\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;\red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0; \red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;} {\stylesheet{\fs20 \sbasedon0\snext0 Normal;}{\s1 \sb280\f4\fs28 \sbasedon0\snext1 Heading 1;}{\s2 \sb120\b\f2\fs24 \sbasedon0\snext2 Heading 2;}{\s3 \qc\sa240\f4\fs48 \sbasedon0\snext3 Title;}{\s4 \fs24 \sbasedon0\snext4 Default Text;}}\sectd \pard\plain \s3 \qc\sa240\f4\fs48 {\fs48 Problem Based Learning: Medical Ethics and Law}{\fs48 \par} \pard\plain \s1 \sb280\f4\fs28 {\fs28 Consent issues:}{\fs28 \par} \pard\plain \s2 \sb120\b\f2\fs24 {\fs24 Children}{\fs24 \par} \pard\plain \s4 \fs24 { \fs24 \par} \pard\plain \s4 \fs24 \sa240\fi-360\li360{\*\pn \pnlvlbody\pnindent360\pnhang\pnf3\pnfs24\pnql{\pntxtb \'9f}}{\pntext\pard\plain\f3\fs24 \'9f\tab}{\fs24 At age 16 a young person can be treated as an adult and can be presumed to have the capacity to decide.}{\fs24 \par} \pard\plain \s4 \fs24 \sa240\fi-360\li360{\*\pn \pnlvlbody\pnindent360\pnhang\pnf3\pnfs24\pnql{\pntxtb \'9f}}{\pntext\pard\plain\f3\fs24 \'9f\tab}{\fs24 Under the age of 16 the child may have the capacity to decide, depending on their ability to understand what is involved. If they are not competent, parental consent }{\fs24 overules}{\fs24 }{\fs24 childs}{\fs24 wishes. Ultimately a doctor may }{\fs24 overule}{\fs24 the parents wishes, but this requires consent form the court. (except in emergencies)}{\fs24 \par} \pard\plain \s4 \fs24 \sa240\fi-360\li360{\*\pn \pnlvlbody\pnindent360\pnhang\pnf3\pnfs24\pnql {\pntxtb \'9f}}{\pntext\pard\plain\f3\fs24 \'9f\tab}{\fs24 When a competent child refuses treatment a person with parental }{\fs24 responsibilty}{\fs24 ,}{\fs24 or the court, may }{\fs24 authorise}{\fs24 investigation or treatment which is in the }{\fs24 childs}{\fs24 best }{\fs24 intrests.}{\fs24 This is different in Scotland.}{\fs24 \par} \pard\plain \s4 \fs24 \sa240{\fs24 The issue revolves around the assessment of the child\'92 s capacity to decide whether to consent to or refuse the proposed treatment before it is provided. A competent child will be able to understand the consequences of both treatment and non treatment.}{\fs24 \par} \pard\plain \s2 \sb120\b\f2\fs24 \sb0\sa240 {\fs24 Adults}{\fs24 \par} \pard\plain \s4 \fs24 \sa240{\fs24 These patients may get to a stage where they lack the capacity to decide, and options must be assessed that are in the best interest of the patient.}{\fs24 \par} \pard\plain \s4 \fs24 \sa240 \fi-360\li360{\*\pn \pnlvlbody\pnindent360\pnhang\pnf3\pnfs24\pnql{\pntxtb \'9f}}{\pntext\pard\plain\f3\fs24 \'9f\tab}{\fs24 Evidence of patients previously expressed preferences.}{\fs24 \par} \pard\plain \s4 \fs24 \sa240\fi-360\li360{\*\pn \pnlvlbody \pnindent360\pnhang\pnf3\pnfs24\pnql{\pntxtb \'9f}}{\pntext\pard\plain\f3\fs24 \'9f\tab}{\fs24 Health care teams assessment of patients background, including cultural, religious, and employment considerations.}{\fs24 \par} \pard\plain \s4 \fs24 \sa240\fi-360 \li360{\*\pn \pnlvlbody\pnindent360\pnhang\pnf3\pnfs24\pnql{\pntxtb \'9f}}{\pntext\pard\plain\f3\fs24 \'9f\tab}{\fs24 Views from third party. Family, friends, etc....}{\fs24 \par} \pard\plain \s4 \fs24 \sa240\fi-360\li360{\*\pn \pnlvlbody\pnindent360 \pnhang\pnf3\pnfs24\pnql{\pntxtb \'9f}}{\pntext\pard\plain\f3\fs24 \'9f\tab}{\fs24 Choose options that least restricts the patients future choice.}}
|
|
