HESA 6305 Lecture Notes - Lecture 4: Implied Consent

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Consent is an on-going process that starts with the initial consultation between the ph(cid:455)si(cid:272)ia(cid:374) a(cid:374)d the patie(cid:374)t; (cid:272)a(cid:396)(cid:396)ies th(cid:396)ough to the ph(cid:455)si(cid:272)ia(cid:374)"s fi(cid:374)al (cid:272)o(cid:374)ta(cid:272)t (cid:449)ith the patient. Autonomy is critical to the process of consent to treatment. The courts have moved towards a participatory model of consent in which the patient plays a key role (reibl v. hughes) Allan v. new mount sinai hospital - slide 3, slide 12. The effectiveness of the consent form may be put into doubt in some circumstances. If consent is effectively revoked, a signed consent form has no value: oral consent. There is no concern about memories having faded. With o(cid:396)al (cid:272)o(cid:374)se(cid:374)t, the (cid:272)ou(cid:396)t has to (cid:373)ake fi(cid:374)di(cid:374)gs of (cid:272)(cid:396)edi(cid:271)ilit(cid:455) (cid:449)he(cid:374) the pa(cid:396)ties" memories differ as to what was said/consented to. Often courts will find that because the situation was an important, personal and somewhat unusual one for the patient, the patient is likely to have a very vivid memory of the event.

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