PHL100Y1 Lecture Notes - Lecture 3: Terri Schiavo Case, Reasonable Person, Informed Consent

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Informed consent reflects respect for autonomy (of competent adult patients). Adult models of informed consent assume that the patient is autonomous and has a stable sense of self, established values, and mature cognitive skills (30). Infants aren t capable of articulating underlying goals and values and to reason. As children get older, it s plausible for them to make small decisions. We still think autonomy is important to children because they re still going to be adults. To secure the patient s best interest, let patients decide. We think it s the role of the gov t and doctors to protect the best interest (paternalism), but we also have a social role to protect the interests of children. Case study: (refer to involving children in medical decisions reading) She may have maturity beyond her years, but because she only has 20% chance of living, go through with chemo. The child is on the cusp of adolescent maturity.

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