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4 - Consent and informed decision making

Kerry J. Breen ,
Stephen M. Cordner ,
Colin J. H. Thomson  and
Vernon D. Plueckhahn
Kerry J. Breen
Affiliation:
National Health and Medical Research Council
Stephen M. Cordner
Affiliation:
Monash University, Victoria
Colin J. H. Thomson
Affiliation:
University of Wollongong, New South Wales
Vernon D. Plueckhahn
Affiliation:
Monash University, Victoria
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Summary

There are ethical and legal reasons why doctors must adequately inform patients about proposed treatments or procedures, especially in regard to risks and dangers, and be satisfied that patients understand and consent to such measures. Ethically, this arises principally out of respect for the autonomy of the patient. The two-way information exchange required in order to bring patients to a position from which they can provide meaningful consent (an exchange referred to as ‘shared decision making’) is an essential component of good medical practice. Doctors who fail to adequately inform their patients about their condition, treatment options or material risks of treatment may be sued on the grounds of negligence (see Chapter 7). Exceptions to the requirement for consent are uncommon but include genuine emergencies and situations where treatment has been authorised by a court. In addition, if a doctor undertakes any procedure that involves touching the patient without consent, the doctor is guilty of an assault or, more precisely in legal terms, a battery, and an action in trespass may be brought against the doctor in a civil or a criminal court.

Just as there are both ethical and legal reasons for seeking informed consent, so too there are ethical and legal paths to understanding the principles involved in seeking informed consent. The legal pathway involves a detailed appreciation of what the courts in Australia and elsewhere have said about consent.

Type
Chapter
Information
Good Medical Practice
Professionalism, Ethics and Law
 , pp. 49 - 68
Publisher: Cambridge University Press
Print publication year: 2010

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References

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