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Informed consent for blood transfusion.

At present, few institutions consider separate informed consent for blood transfusions; rather, the patient gives this consent as part of a more comprehensive statement. This should change in the era of increasing patient's rights. The physician has the moral duty to fully inform the patient of the risks and benefits involved in the planned therapy. A separate consent requires time and paperwork but if done properly, it benefits the patients by increasing their knowledge and autonomy in the transfusion process.

Bioethics↗

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Consent Forms↗

Is informed consent needed for fluorescein angiography?

Fluorescein angiography is a common diagnostic procedure. Questions have been frequently raised as to whether explicit informed consent is needed for this procedure and what form such consent should take. Review of existing legal concepts indicates that the need for explicit consent varies from state to state, but that the trend is to require an explicit discussion of risks, benefits, and alternatives. Documentation of such information can adequately range from a brief, written notation in the patient's chart to a complete, separate form.

Eye Diseases↗

Cataract surgery and consent; recall, anxiety, and attitude toward trainee surgeons preoperatively and postoperatively.

PURPOSE: To assess patients' recall of information, anxiety, and attitude toward trainee surgeons immediately after providing consent for cataract surgery and 1 month postoperatively. SETTING: Cataract Clinic, Princess Alexandra Eye Pavilion, Edinburgh, Scotland. METHODS: A questionnaire was administered to 51 patients immediately after their consent was obtained at the preassessment clinic and 1 month postoperatively (50 patients). Anxiety, attitude toward trainee surgeons, and difficulty understanding the cataract surgery consent and information form were assessed using visual analog scales. RESULTS: Nine postconsent patients (18%) and 2 postoperative patients (4%) recalled the risk for major complications. All postconsent and 40 of 47 postoperative patients (85%) who remembered signing the consent form said they believed they were adequately informed. Patients reported little anxiety about surgery; the consent process had no effect on this. Five of 17 postconsent patients (29%) and 7 of 23 postoperative patients (31%) who could not recall being told a trainee might perform their procedure were unhappy; 1 patient in each group (3% and 4%, respectively) who could recall such a discussion were unhappy. CONCLUSIONS: Patient recall of specific details related to cataract surgery was poor immediately after consent was obtained and deteriorated postoperatively. Despite this, most patients reported they were well informed about surgery and had little anxiety. Patients accept the need for surgical training if they recall a discussion of this at the time of consent. If they do not, many are very unhappy regardless of surgical outcome. These findings strongly support an explicit discussion of surgical training as part of the consent process.

Aged↗

Informed consent.

Under the law of informed consent, physicians must disclose to patients certain information about their medical condition and potential courses of treatment, and must obtain their consent to proceed. This article delineates the basic standards that govern such disclosure, with special reference to legal cases that have dealt with ophthalmic concerns. It concludes by discussing a number of special issues that have recently arisen in this area.

Consent Forms↗

Enforcing patient preferences. Linking payment for medical care to informed consent.

The legal and ethical doctrine of informed consent is well accepted in modern medicine. Nonetheless, medical interventions sometimes take place in the absence of informed consent, particularly in the case of life-sustaining medical procedures. These procedures ordinarily are reimbursed by third-party payers. This article proposes as a strategy to ensure greater attention to patient preferences in medical decision making that financial reimbursement for each medical service be linked to a requirement of valid patient (or surrogate) consent to the service involved. Utilization review bodies could monitor informed consent in the same way that other aspects of necessity, appropriateness, and quality are now monitored.

Consent Forms↗