Principles Of Informed Consent For Patients With Acute...

Fidelity It is a principle that pertains keeping promises, especially by the physician or nurses, made by a patient. It requires telling the truth, being loyal, and advocating for the patients (Ethics Resource Center, 2009). It encourages the commitment of health care providers to the consent of the patient using their highest level of knowledge and skills, for example, commitment to provide end of life care for patients with acute illness, i.e., palliative care with no medication (Fowler Hammer, 2013). Beneficence and non-maleficence Beneficence is a principle of well-doing and advocating for patients while non-maleficence is for avoiding harm or injury to patients. (Phang, 2014; Baeuchamp Childress, 2009). Both are indirect†¦show more content†¦In the US, the initial system concentrated on physician knowledge about an intervention and not the patient requirement, i.e., the physician was to decide the best practice as well as information to disclose to a patient. However, there was a recognizable trend towards the informed consent (Culhane et al., 2012). A case between Salgo and Leland Stanfors Jr. University Board of Trustees clearly provided a clear indication of the court resistance and struggle to adopt the autonomous approach rather than the physician paternalism (Culhane et al., 2012). The jury argued that the patient has the right to information of any risk associated with a practice. However, they argued for the physician in the sense that he/she is placed in a position to make choices that prot ect the patient. In the UK, like in the US, there is a growing shift from the traditional approach of the Bolam test to a patient-centered approach (Culhane et al., 2012, p. 567). In the Bolam case, the argument is that a physician is legally correct is acting according to the standard accepted in medicine. The court ruling was that the doctor was not liable for practice violations if the practice did not require disclosure of the risks of its application (Culhane et al., 2012, p. 568). Another similarity is the initial reliance on some degree of â€Å"professional standard of disclosure in their informed consent doctrine (Culhane et al., 2012, p. 579). As noted in above the