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Patient Consent (patient + consent)
Selected AbstractsSterilizing the "Feeble-minded": Eugenics in Alberta, Canada, 1929,1972JOURNAL OF HISTORICAL SOCIOLOGY, Issue 4 2004Jana Grekul However, only 60% of these individuals, 2834 in total, were ultimately sterilized since the legislation under which the Eugenics Board operated required patient consent to be obtained unless the individual recommended for sterilization was diagnosed as "mentally defective." Women, teenagers and young adults, and Aboriginals were particularly targeted by the Alberta Eugenics Board. The Board pursued its sterilization mandate extremely aggressively and, because of a unique set of social, political and economic circumstances in the province, continued to operate long after other political jurisdictions in North America had set aside their involuntary sterilization programs. [source] Maximizing patient consent for video recordingMOVEMENT DISORDERS, Issue 9 2004Kate S.M. Taylor [source] The Ethics of Reflective Research in Single Case Study InquiryPERSPECTIVES IN PSYCHIATRIC CARE, Issue 4 2007Gary Winship PhD TOPIC.,Recent developments in policy change in the governance of research ethics in the UK are reviewed and discussed regarding how the changes in informed consent impacts on single case study research. CONCLUSIONS.,Changes in the ethics of health research (particularly in the UK) and informed patient consent have potentially negative implications for case study research where overregulated research guidance may impinge on patient treatment. PRACTICE IMPLICATIONS.,The psychotherapy milieu is a highly protective environment where case study research design has, historically, been effectively applied without compromising clients' interests and treatment. A distinction between "prospective" and "reflective" psychotherapy research is proposed that offers an ethical foothold, protecting patients and allowing scope for practitioners to continue to advance knowledge from their reflective practice. [source] Developing a Policy for Sexual Assault Examinations on Incapacitated Patients and Patients Unable to ConsentTHE JOURNAL OF LAW, MEDICINE & ETHICS, Issue 3 2010Mary E. Carr Sexual assault examinations consist of a medical evaluation and forensic evidence collection. Usually the patient signs a consent form allowing the examination to occur. Occasionally circumstances exist that render a patient unable to give consent for this examination. Such circumstances include young age, mental health disease, cognitive delay, or drug/alcohol ingestion. This article provides suggestions for developing a policy allowing a sexual assault examination to be conducted without patient consent. A sample of such a policy is provided. [source] Informed Consent in Functional Endoscopic Sinus Surgery,THE LARYNGOSCOPE, Issue 5 2002Jeffrey S. Wolf MD Abstract Objectives Functional endoscopic sinus surgery (FESS) is one of the more common procedures performed by otolaryngologists. Before performing FESS, surgeons are obligated to discuss the procedure and its risks through the process of informed patient consent. The study identifies current practices in informed consent for FESS and formulates guidelines for informed consent for FESS. Study Design Survey. Methods Surveys were sent to 1000 American Academy of Otolaryngology,Head and Neck Surgery members in the United States. Surveys inquired about current informed consent practices related to FESS. Results Three hundred forty-six surveys were returned. Nearly 60% of respondents thought that 1% incidence of a complication warrants a discussion with patients. The percentage of respondents who discuss specific risks were as follows: bleeding, 96.7%; infection, 84.8%; cerebrospinal fluid leak, 99.1%; orbital injury, 96.7%; smell changes, 40.2%; cerebrovascular accident, 17.9%; myocardial infarction, 8%; and death, 28.0%. Conclusions The study suggests that there is variability in specific informed consent practices for FESS among otolaryngologists. It also suggests that the incidence or severity of a complication does not necessarily correlate with whether or not it is mentioned during the informed consent process. The authors think that practicing otolaryngologists may be able to use this information to improve their consent practices. [source] Electronic e-isotretinoin prescription chart: Improving physicians' adherence to isotretinoin prescription guidelinesAUSTRALASIAN JOURNAL OF DERMATOLOGY, Issue 2 2009Mark BY Tang ABSTRACT Oral isotretinoin is a highly effective treatment for refractory nodulocystic acne. However, it can be associated with serious adverse effects such as teratogenicity and hepatitis. Inadequate cumulative dosing may also result in reduced therapeutic efficacy and higher disease relapse. A preliminary audit had previously revealed a poor and inconsistent adherence to local isotretinoin prescribing guidelines by physicians. To achieve greater than 90% adherence to isotretinoin guidelines for all acne patients prescribed systemic isotretinoin at the National Skin Centre, Singapore, key areas and the reasons for non-adherence were identified. A specifically designed ,one-stop' electronic isotretinoin chart was launched within the electronic medical records (EMR) system to address important safety areas; namely, informed patient consent, pregnancy testing, baseline laboratory tests, and automatic calculation of cumulative and target doses of isotretinoin. Physician adherence to prescribing guidelines improved from a baseline of 50,60% to greater than 90% (range 95,100%) for 30 consecutive months post intervention. The e-isotretinoin chart has resulted in significant improvement in physicians' adherence to isotretinoin prescription guidelines and highlights the utility of EMR technology in influencing safe prescribing behaviour among doctors. [source] Anaphylactic reaction to patent blue V after sentinel lymph node biopsyACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 2 2006P. Dewachter Background:, We report a documented grade III IgE-mediated hypersensitivity reaction associated with the use of 2.5% patent blue V dye for sentinel lymph node biopsy during breast cancer surgery. Methods:, Immediately after the reaction, when hemodynamic stability was obtained, plasma histamine was measured whereas serum tryptase was not. Six weeks later, with the patient's consent, cutaneous tests to patent blue V dye, methylene blue dye, latex and all drugs used during surgery were performed according to standardized procedures. Results and conclusion:, Clinical symptoms, biological assessment results and cutaneous tests positivity confirmed the onset of an anaphylactic reaction due to patent blue V. Of interest, the positivity of the cutaneous tests observed with patent blue V was not found with methylene blue which might be proposed for further investigations in our patient. This case report confirms the need for systematic allergological investigation of all drugs and substances administered during the peri-operative period in case of an immediate hypersensitivity reaction occurring during anesthesia. [source] ORIGINAL ARTICLE: A survey of the management of needlestick injuries from incapacitated patients in intensive care units,ANAESTHESIA, Issue 9 2010L. A. Burrows Summary The Human Tissue Act 2004 and Mental Capacity Act 2005 resulted in a change in the management of needlestick injuries sustained from incapacitated patients. It appears unlawful to test for blood-borne viruses without a patient's consent for the sole benefit of the healthcare worker. This survey of intensive care units within England, Wales and Northern Ireland investigated how needlestick injuries from incapacitated patients had been managed within the previous year. Of the 225 intensive care units surveyed, 99 (44%) responded. Sixty-two (62.6%) reported a needlestick injury to a healthcare worker from an incapacitated patient. Thirty-six (64.3%) patients were tested for blood-borne viruses without consent. Sixteen (25.8%) patients tested positive for blood-borne viruses. Only 19 (30.6%) healthcare workers took post-exposure prophylaxis following the injury. These results show that needlestick injuries from incapacitated patients are common and that the majority of patients were tested for blood-borne viruses without consent. [source] | ||||||||||