There is a difference between blanket consent and informed consent. The main purpose of the consent process is to protect the patient. A consent form is a legal document that ensures an ongoing communication process between you and your health care provider. This means that your doctor has given you information about your condition and treatment options, and you have used this information to choose the option you think is right for you. A well-designed consent process would involve discussing the following: The consent process ensures that your doctor has given you information about your condition, as well as testing and treatment options, before deciding what to do. States often have specific consent requirements for certain procedures, including, but not limited to, reproductive health (e.g., abortion, sterilization, etc.) and, more recently, telemedicine.13 Spruit SL, Van de Poel I, Doorn N. Informed consent in asymmetric relationships: a study of relational factors influencing space for reflection. U.S. National Library of Medicine, National Institutes of Health; 2016;10:123-138. A completed consent form contains the following minimum elements: A well-designed consent form may also contain the following additional information: How you should be informed of your treatment options (for example, verbally or in writing) may be set out in your state`s laws.
Your doctor will work with you to determine the best way to get the information you need. The provider may use methods other than oral discussion or written document, such as videos, interactive computer modules, audio files or other methods, to help you better understand the information. Make sure you understand all the information given, even if it means going through it several times or asking your provider to explain it in different ways. Effective consent = understanding. To be effective, consent requires communication and understanding: the physician must explain the essential facts in a way that the patient understands. For this purpose, it may be necessary for a physician to speak at the patient`s education level. If the patient does not understand the doctor`s language, the physician may need to hire a qualified interpreter or use translated documents to convey the facts. If the patient has a disability that interferes with effective communication, the physician may need to use aids to ensure effective communication. Such safeguards are required by applicable anti-discrimination laws,6 but their use is even more important to obtain effective consent and exercise due diligence. Joint Commission, Health Care Improvement Division. Informed consent: Obtaining more than one signature.
2016. Retrieved from www.jointcommission.org/assets/1/23/Quick_Safety_Issue_Twenty-One_February_2016.pdf February 19, 2019. [i] Oklahoma, for example, requires informed consent for non-invasive and invasive procedures. Shared decision-making is actually part of the consent process and allows patients to take an active role in decisions that affect their health. In joint decision-making, the health care provider and patient work together to select tests, procedures and treatments, and then develop a care plan. As described in the consent process, the provider provides the patient with information about their condition and the pros and cons of all treatment options. The patient then has the opportunity to ask questions and learn more about the options. The patient also informs the health care provider of their preferences, personal values, opinions, etc.
about their condition and treatment options. The health care provider should always respect the patient`s preferences and goals and use them to guide the patient`s treatment recommendations. This type of decision-making is especially useful when there is no „best” treatment option. General consent or specific consent. As part of the patient registration process, physicians often ask the patient to sign a general consent form that is supposed to authorize the physician to provide care, including, but not limited to, conducting laboratories, receiving diagnostic tests, etc. Such blanket consents may be useful and, in practice, may be sufficient for primary care; However, if these general „informed consents” are not accompanied by the communication of significant risks and benefits, they do not constitute effective informed consent and may be challenged. Remember: effective consent requires that consent be informed, that is, that „the patient or his or her representative is provided with the necessary information, explanations, consequences and options” to enable them to make an informed decision.9 The greater or riskier the treatment, the more important it is to document accurate informed consent; It is dangerous to rely on a general and general declaration of consent. Provides free confidential information and resources on cancer-related legal issues In the absence of specific legal or regulatory requirements, the sufficiency of information provided to the patient is often measured by what other similar practitioners in the community would have disclosed or discussed.
5 Informed consent. To be effective, patient consent must be informed, i.e.: the physician must explain the essential facts of the treatment so that the patient can make an informed decision about the proposed treatment.3 While state laws, regulations, or jurisprudence may vary, important facts generally include the necessity, nature, and significant risks and benefits associated with the proposed treatment; alternatives to the proposed treatment with associated risks and benefits; and the identity of the practitioners providing care.