Tuesday, February 19, 2019
Consent to medical treatment medical law Essay
Consent to health check treatment, aesculapian fair play macrocosm Medical treatment and practice of faithfulness argon interrelated, the relationship mingled with the devil resulted to health check uprightness which is of greater help for millions of people in the in t bring out ensemble world. Medical justness varies in polar countries. They all serve the corresponding purpose of protecting the engagement of forbearing roles during the time of medication process. Medical fairness covers different atomic number 18as of medication and it contains different sub-laws that define different beas of medication. The issue of h gaga is one of the slender issues that be addressed by this medical examination law. This is because on that point work been umteen cases where tolerants pee been contentednessed to medical treatment without their will. Medical law go alongs longanimouss the right to process decisions of their will without either influence but down stairs certain conditions like capacity of the forbearing to even up decisions. The torts of negligence and barr years fire are also common issues that are addressed under medical law. The 2 torts register the highest number of cases in courts because they are comm solo go against by the medical practicians. The objective of the paper is to detailedly analyze the conception of fancy, tort of battery and tort of negligence. The analysis will be back up by different case laws under each concept. Consent is a situation where a patient is rolln the right to decides what should be through to his or her body. If a medical practitioner matees the patient without this concept, the act is referred to be unlawful. A medical practitioner is said to act lawfully when soupcon a patient under the following circumstances, but it is good to set that each circumstance depends on the category of the patient. The major categories of patients are adults who are competence, adults who are incompetence, young people of below 16 old age old and patients who require urgent care. For the case of competence adults the medical practitioner must cook the concept of the patient before subjecting him or her to medical treatment. The comply should be from the psyche but non any person because the law views a competence adult as a person who preempt demand right decisions. If the medical student touches the patient without his or her concept, the act is all told unlawful. In the category of incompetent adult, the medical law defines that the person fundamentnot depict right wise decision and thus the physician should not approve with the persons fancy. However, this does not represent that the physician has the right to subject the person to medication. The physician should get the concept of the court of law or close family member of the person and in this case, the physician can touch the person lawfully. The category of Children of below 16 old age old can be come up explained using the Gillick vs. wolfram Norfolk health facility. In this special(prenominal) case, the West Norfolk was changed in the court of law because of subjecting girls of below 16 years old to contraceptive treatment without the concept of their parents. This indicates that a medical practitioner should not touch a child of below 16 years without parental or legal go for and thus it is lawful for a medical practitioner to touch a child under the consent of parents. In the category of emergence cases where urgent treatment is required, the physician should initiative use all the elbow room possible in order to get the patients consent. However, the physician can subject medication to a patient without consent and it becomes lawful under the following situations which are highlighted in the medical law act. If the patient is disabled in search a way that he or she cannot be able to communicate, if on that point is a language barrier between the patient and t he medical practitioner, if the delay would cause insecurityous complications to the patient, if all possible ways of getting the patients consent has been exhausted and if there is a good reason that the patient cannot refuse the treatment. The above reasons give the physician the right to touch a patient lawfully. There many instances where the medical practitioner acts against the consent of the patient. The medical practitioner commits a tort of negligence. This is a very dangerous tort because it has left many people unused and others disabled, it is mostly caused by escape of proper concentration and seriousness of physicians in their medical surgerys. There are many cases where the physicians have been sued because of acting against or without the consent of the patient. A good example is the Alexander Baez vs. Sylvester. Alexander was a body builder and he decided to go to a medical practitioner for Pec implants the revive by operated him implanted him with breast impla nts instead of pec implants. This is unsloped a representation of millions of cases that involves tort of negligence. The issue of consent is very critical this is because the medical practitioner is usually reliable for touching a patient without consent and also treating a patient with consent which is not well communicate. The main issues lies on to what extent should the medical practitioner advice the patient when approaching up with the consent. Two cases can be of greater help in the process of analyzing this issue. The first case is the case between Sidaway vs. Bethlem. Sidaway was a patient where she had gone for a surgery in order to remove a trapped nerve. Bethlem was the one who handled the patient. After surgery, the patient paralyzed and he sued the come to because of negligence. He claimed that the recreate had not disclosed the negative effects of the surgery and thus it was a form of negligence. The second case is between Chester vs. Afsher. Where Chester was a journalist and she had a problem of back pain and one of her medical practitioner advised her for a surgery. Chester decided to visit Afsher as a private patient and she requested for a spinal surgery. The surgery caused jumpiness damage and she became paralyzed. As a result of that, she sued the animate for negligence because she claimed that the doctor had not disclosed all the information close the negative of the surgery. The deuce cases were addressed in different ways though they look the same, the judge in the Sidaway case sided with the doctors side while in the majority in the Chester case sided with the patient side. The two cases were under the side law that states that the patient must be provided with all information whether positivistic or negative about the medical operation for the purpose of fashioning balanced decision. In two cases, the patients complained that they had not been well informed about the possible consequences. The first case judgment was aga inst the slope law because the doctor had not provided with all the information. In the second case, I strongly total with the majority in that case who supported Chester. This is because also-ran to provide the infallible information to the patient is a form of negligence and thus the doctor went against the law. Self-determination of patients influences the consent making process in a greater way. In the Sidaway case, lord Scarman endorsed therapeutic privileges. This has massive effects to the patients because it raises the self-determination of the patient. If patients self-determination is triggered there is a possibility that the patient would make decisions out of excitement. This has resulted to a lot of cases of negligence which are indeed out of patients high hopes in making their consents. That is the reason why the medical practitioners should provide the both sides of information in order to give the patient a chance to make balanced decision which are not out of ex citement or any influence. This would reduce many cases of negligence which affects both parties depending on the jury addressing the issue. There is no danger of informing the patient about all the information concerning the operation disregardless of how simple it is because it is not easy to know the information that will have an impact in the decision making process of the patient. Operation to go under sticking years is an operation that is carried out by medical practitioners in for prestige because stick ears have no health complications. Many parents cull to take their childrens for this operation while they are still young. However, anything that exponent happen to the child during the operation is justified and the medical practitioner cannot be responsible of anything.This is because the consent of parent is enough to legalize the child operation. However, there are some circumstances that can prevent this justification. The medical manipulator should provide all the necessary information about the operation and failure to do so can result to lack of justification. Beauchamp vs. Childress case is a good explanation for this point because the case addressed the issue where Childress makeup sued parents and physician who operated a child and the child developed problems. The jury control in favor of parents and physicians because the stick year operation was done in consent of parents. The issue of circumcision is related to the above case but it takes different angles, this is because there is child circumcision and adult circumcision. In the case of child circumcision, the consent must be from the parent and they have the legal right to make the decision. In this case, the circumcision process is justified and thus the doctor has no fiendish if there is proper application of skills. The situation can be unfounded if the medical operator shows any kind of unprofessionalism or if the child experiences complications which are as a result of ph ysicians era. There is a difference between the law of circumcision in males and females. The male law on circumcision is not well established because male circumcision is viewed as a universal process. The male law of circumcision states that parents of a child have the right to cut their male child or not. It is good to note that this law does not tackle the issue of circumcision based on cultural or ghostly believes. When it comes to female circumcision, the law does not support it in any way. It is outlaw(prenominal) to operate a female whether in her consent or in the consent of another person. The law prohibits parents form influencing their children for circumcision in any way. The law also prohibits the gentle mutilation whether with the consent of the child or with the consent of the parent. The law further elaborates this issue the tort of battery, the law explains that a medical practitioner should not in any case use any means to persuade a female for genital mutilat ion. Male circumcision should not be made illegal because it is performed under the consent of parents and also it does not have dangerous complications. Mental capacity crook 2005 section one two contains detailed watchlines on how vanquish reside of a person who lack capacity should be determined. When a person has no capacity to make decision, the outflank interest of the person is determined. A person can be disabled in a way he or she cannot be in a position of making any decision or there can be a language barrier between the patient and the physician and that is where the concept of vanquish interest is applied.That Act states that the best interest of the person should not be determined according to the age or physical appearance of the person. Best interest of incapacitated patient should be determined by, consultation of any person who is to the patient, any in-person interest that might have been written or said by the patient when he or she was in full capacity an d the decision of the attorney. The Act further elaborates that all process that should make the patient to give the consent should be exhausted before deciding the best interest of the person. Lastly, the beliefs if any of the person should be used to determine the best interest of the person because the act argues that the beliefs influence the decision of a person in a greater way. Least restrictive alternative principle mean is applied when determining the best interest for an incapacitated patient. The principle states that when applying the best interest, the less intrusive alternative should be considered. This means that some options that are suggested as best interest are not the same, there are some which are more convenient to the person and they should be apt(p) the first priority. In case of unconscious mind person in a surgery table and the doctors operating the person notices that they would have an additional operation that they had not explained to me, the follow ing is the best suggested for them that they can proceed with. Since the person is unconscious which means have no capacity of giving his or her views, the best interest evaluation process should be carried out. The doctor should consult the relatives of the person concerning the issue if any. They should also assess the previous agreements in order tell whether there was any put down that the patient had written that could be of any help. The principle of the least restrictive alternative should be taken. The best option should be continuation of the process because it would of benefit to the patient and it would be the only chance for the survival of the person.Conclusion In conclusion, it is the right of every patient to give consent before any operation is undertaken although this seems to depend on the condition of the patient at that respective time. This would be for the benefit of both the physician and the patient. Based on the above case study and the English law, physic ians are at risk of being sued upon failure of notifying the patient on the side effects of the operations. Many doctors prefer getting information from both the patient and the relatives to ensure balanced decision making that is not as a result of influence. The tort of negligence is also posed to be dangerous because it may lead to disablement or death of a patient if the doctor is careless. Both torts, the tort of negligence and battery are said to be the most violated by physiciansReferencesBeauchamp and Childress. The Principles of biomedical ethics, (1979) P. 3Sidaway v. Bethlem Royal Hospital (All Engl rectitude Rep. Feb 231984 11018-36, 1984) p.45Gillick v West Norfolk and Wisbech Area Health Authority. 1984 (All Engl faithfulness Rep. 1984 Nov 19-Dec 20 (date of decision)1985(1)533-591., 1984) p.120General Medical Council (UK). respectable guidance Confidentiality. October 2009. http//www.gmc-uk.org/guidance/ethical_guidance/confidentiality.aspBeauchamp TL, Childress JF . (2001). Principles of biomedical ethics, 5th edn. (Oxford Oxford University Press) p. 209http//www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/NotificationsOfInfectiousDiseases/ListOfNotifiableDiseases/W v. Egdell. All Eng Law Rep. (1989 Nov 91990 1835) p.53.Her Majestys Stationery Office (UK). (The entropy Protection Act (1998). 1998) p.332General Medical Council (UK). Confidentiality Protecting and Providing Information. September 2000) p. 64JACKSON, E. (Medical law text, cases, and materials, 2013) p. 74CHOCTAW, W. T. Avoiding medical malpractice a physicians work to the law. (New York, Springer, 2008) p. 52 Alaisdair Maclean . (2009). The legal regulation of consent chapter 5 from Autonomy, informed consent and medical law by Alaisdair Maclean (2009).Jackson E. Informed consent to medical treatment and the impotence of tort (First do no harm, 2009) p. 81Alisdair Maclean . From Sidaway to Pearce and beyond Is the legal regulation of consent any better following a quar ter of a century of judicial scrutiny (article from Medical Law Review, 2009) p .213Tom Walker What principalism misses (in Journal of Medical Ethics., 2009) p. 9Jose Miole whizz step forward, two steps back the GMC, the common law and informed consent (From Journal of Medical Ethics., 2010) p. 20Rachael Mulheron Trumping Bolam A critical legal anlysis of Bolithos gloss ( in Cambridge Law Journal, 2010).p. 67CALLAGHAN AND COMPANY. (1912). slight and compensation cases annotated. (Mundelein, Ill. etc., Callaghan, 1912) p. 23JACKSON, E. (2013). Medical law text, cases, and materials.BRINDLE, N., BRANTON, T., STANSFIELD, A., & ZIGMOND, T. (A clinicians brief guide to the Mental Capacity Act, 2013) p. 74GREAT BRITAIN. Mental Capacity Act 2005 Chapter 9. (London, Stationery Office, 2005) p. 111TOWNSEND, R., & LUCK, M. Applied paramedic law and ethics Australia and New Zealand. (Chatswood,N.S.W.,Elsevier Australia, 2013) p. 44 http//search.ebscohost.com/login.aspx?direct=true&scope= site&db=nlebk&db=nlabk&AN=520826.DIAMOND, J. L., LEVINE, L. C., & BERNSTEIN, A. (2010). discretion torts. (New Providence, NJ, LexisNexis, 2010) p. 56CHAMALLAS, M., & WRIGGINS, J. B. (2010). The measure of injury race, gender, and tort law. New York, N.Y., New York University Press.POZGAR, G. D. (2012). licit aspects of health care administration. Sudbury, Mass, Jones & Bartlett Learning.TAPPEN, R. M., WEISS, S. A., & WHITEHEAD, D. K. Essentials of nursing leadership and management. (Philadelphia, F.A. Davis, 1998) p.8Source document
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