Informed consent analysis and its role in modern medicine

Czech version

Authors: Jan Payne
Authors‘ workplace: ÚHSL 1. LF UK, Praha
Published in: Čas. Lék. čes. 2015; 154: 59-65
Category: Review Article

Overview

„Informed consent“ is a term adopted by the contemporary medicine in all its fields. There may seem that it is a plain rendering of information to the patient followed by her/his decision about further procedures but the facts are different. Actually this relationship between patient and doctor has an intricate nature. It guarantees an ethical frame and structure of any treatment afforded to the patient and it covers all the possible dilemmas as conflicts of any two principles taken from any contemporary medical code while it allows no simple resolution. Individual steps require a compromise based on continuous discussion between both sides. In this process means controlled by the doctor and patient’s goals must be conscientiously distinguished since a goal or meaning of live is not an expertise of the doctor and the doctor is obliged solely to revere them whereas to develop means or tools (organon) in all its manners is on the other side her/his main task.

Keywords:
informed consent – principles and norms of bioethics – dilemma – autonomy – phronesis

Sources

1. Eskin CR. Hippocrates, Kairos and Writing in the Sciences. In Sippiora Ph, Baumlin JS (eds.) Rhetoric and Kairos: Essays in History, Theory and Praxis. Albany NY: State University of New York 2002; 97–113.

2. Edelstein L. Empiricism and skepticism in the teaching of the greek empiricist school. In Temkin O, Temkin CL (eds.) Ancient medicine: selected papers of Ludwig Edelstein. Baltimore MA: John Hopkins University 1967; 195–204.

3. Marković V. Ancient Greek in modern language of medicine. Srpski arhiv za celokupno lekarstvo 2007; 135(9–10): 606–608.

4. Ratzan RM. The Words of Medicine: Sources, Meanings, and Delights. Journal of the History of Medicine and Allied Sciences 2002; 57(3): 349–350.

5. Giordano J, O’Reilly M, Taylor H, Dogra N. Confidentiality and autonomy: the challenge(s) of offering research participants a choice of disclosing their identity. Qualitative Health Research 2007; 17(2): 264–275.

6. Woodward B. Confidentiality, consent and autonomy in the physician-patient relationship. Health Care Analysis 2001; 9(3): 337–351.

7. Buber M. Já a ty (transl. Navrátil J). Praha: MF 1969.

8. Edelstein L. The Hippocratic oath: text, translation and interpretation. In Temkin O, Temkin CL (eds.) Ancient medicine: selected papers of Ludwig Edelstein. Baltimore MA: John Hopkins University 1967; 195–204.

9. Platón. Zákony (transl. Novotný F). Praha: Oikoumené 1988; 720b8–720e2.

10. WMA. Trials of War Criminals before the Nuremberg Military Tribunals under Control Council Law. Washington DC, US Government Printing Office 1949; 2(10): 181–182.

11. Beauchamp TL. Informed Consent. In: Veatch RM (ed.) Medical ethics. Boston: Jones and Bartelett 1989; 175–177, 198.

12. Faden RR, Beauchamp TL. A history and theory of informed consent. New York Oxford: Oxford University 1986; 125–133.

13. Ubel PA, Loewenstein G. The role of decision analysis in informed consent: choosing between intiution and systematicity. In: Lindemann Nelson J, Lindemann Nelson H (eds.) Meaning and medicine. New York: Routledge 1999; 80–94.

14. Lock JD. Some aspects of medical hermeneutics: The role of dialectic and narrative. Theoretical Medicine and Bioethics 1991; 11(1): 41–49

15. Daniel SL. The patient as text: a model of clinical hermeneutic. Theoretical Medicine and Bioethics 1987; 7(2): 195–210.

16. Payne J. Hermeneutická etika. Praha: Triton 1995.

17. Parens E. Enhancing Human Traits: Ethical and Social Implications. Washington: Georgetown University 2000.

18. Payne J. Odkud zlo? Praha: Triton 2005; 110–118 (§ 18).

19. Mill JS. On Liberty. London: Penguin 1982; kap 3.

20. Kant I. Základy metafyziky mravů (transl. Menzel L). Praha: Svoboda 1990; 98–107.

21. Appelbaum PS, Lidz ChW, Meisel A. Informed Consent. New York Oxford: Oxford University 1987; 23–26.

22. White BC. Competence to consent. Washington: Georgetown University 1994; 13–18, 44–53.

23. White BC. Competence to consent. Washington: Georgetown University 1994; 27–35, 56–73.

24. Lind G, Wakenhut R. Testing for moral judgment competence. In Lind G, Hartmann HA, Wakenhut R (eds.) Moral judgment and social education: studies in the psychology and philosophy of moral judgment and education. Edison NJ: Transaction 2010: 79–105.

25. Lind G. The meaning and measurement of moral judgment competence revisited: a dual-aspect model. In Fasko D, Willis W (eds.) Contemporary philosophical and psychological perspectives on moral development and education. Cresskill NJ: Hampton 2008; 185–220.

26. Frankl VE. Ärztliche Seelsorge. Hamburg: Fischer 1983; 65–68.

27. Reich JW, Zautra AJ, Hall JS (eds.) Handbook of adult resilience. New York: Guilford 2010; 3–34.

28. Maddi SR. Resilience at work: How to succeed no matter what life throws at you. New York: Amacom 2005.

29. Antonovsky A. Unraveling the mystery of health: how people manage stress and stay well. San Francisco: Jossey-Bass 1987.

30. Ubel PA, Loewenstein G. The role of decision analysis in informed consent: choosing between intiution and systematicity. In Lindemann Nelson J, Lindemann Nelson H (eds.) Meaning and Medicine. New York: Routledge 1999; 80–94.

31. Aristotelés. Etika Nikomachova (transl. Kříž A). Praha: Rezek 1996; 1140a24–1140b30, 1141b8–1142a30, 1142b15–1145a11.

32. Aristotelés. Etika Nikomachova (transl. Kříž A). Praha: Rezek 1996; 1144a7–1144b1.

33. Churchland PC. Moral decision making and the brain. In: Illes J (ed.) Neuroethics. New York – Oxford: Oxford University 2005; 12–15.

34. Roland PE. Brain activation. New York: John Wiley 1993; 341–364.

35. Kolb B, Gibb R. Frontal lobe plasticity and behavior. In Stuss DT, Knight RT (ed.) Principles of Frontal Lobe Function. Oxford: Scholarship 2002; 541–557.

36. Creuzfeld OD. Cortex Cerebri. New York Heidelberg: Springer 1983; 310–322.

37. Luria AR. The Working Brain: An Introduction to Neuropsychology. Middlesex: Penguin 1973.

38. Appelbaum PS, Lidz ChW, Meisel A. Informed Consent. New York – Oxford: Oxford University 1987; 151–158.

Labels

Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

Positive aspects of old ages – humor of seniors

Use of pulmonary rehabilitation in the treatment of decreased respiratory muscle strength

The prospects for children with acute lymphoblastic leukemia of being cured has increased in the Czech Republic in the 21st century to 90% – outcome of the ALL-IC BFM 2002 trial

Female androgenetic alopecia, a survey of causes and therapeutic options

Wenzel Leopold Gruber (1814–1890)

Article was published in

Journal of Czech Physicians

2015 Issue 2

Download issue PDF