Tuesday, June 4, 2019
Informed Consent in Treatment
Informed Consent in TreatmentDanelle J. HollenbeckIntroductionInformed take on is an ethical idea or concept which command line interfaceents moldiness understand and agree to prior to receiving an assessment, treatment, etc. This paper explores advised combine in treatment and confidentiality. It explores why it is important to acquire informed consent and defend confidentiality when providing treatment. Due to restrictions in length of the paper, I will not focus on informed consent involving minors or the incapacitated.Informed Consent in TreatmentInformed consent is an ethical and legal design to ensure clients atomic number 18 provided with knowledge and information about the treatment in which they are seeking, frankincense decide whether or not they want to participate in the treatment when the consent has been given to them and is worded in language that is easy to understand (Fishers, 2013, p.12). Standard in informed consent would be the nature of all information that is included in the procedures and steps that must be taken to protect the rights of children and adults with impairments, thus not able to provide consent (Fishers, 2013, p.12).It is important that a practitioner receives informed consent for evaluations, assessments, and treatment, except when mandated by right (APA Ethical Principles of Psychologists and Code of Conduct, n.d.). Practitioners using the serve of an interpreter must obtain informed consent from the client in order to use that interpreter, which ensures on behalf of the client that confidentiality is maintained. It is also imperative that practitioners inform (whilst obtaining informed consent) they inform clients as early as possible about fees involved, limits of confidentiality, and involvement of third parties (APA Ethical Principles of Psychologists and Code of Conduct, n.d.). Where I work we have a software package in which the first 4 sheets are consent to share information and include consent to share data to NTDMS, two charities we work in confederacy with and would be providing services to clients, and social services. There is also a form they sign which states that information obtained in this assessment is confidential unless they are at insecurity to themselves or others, or have put a child at-risk. Informed consent also includes identifying a persons professional identity, explaining the risks, and the clients ability to discontinue treatment at any time. concord to Hudgins, et al (2013) informed consent also includes the notice that isrequired by federal or state laws, professional ethical codes, or both, concerning the patient rights(pg.11). this is very important to have so people entering into treatment know what their rightsare. Effective shipway to ensure the ethical standards are being met is to put informed consent in thepatient handbook (Hudgins et al, 2013, p 8). The most powerful tool in compliance and ensuringethical standards is to create a pathway into the in formed consent process which exists right atthe beginning. HIPAA patient material that is required and Part 2 can be included in the patienthandbook, a ache with the Mental Health Bill of Rights that may be required by state codeHudgins et al, 2013, pg. 8). Informed consent, as with any medical procedure, should be revisitedand documented.The practitioner has a duty to ensure the client is involved in ethical decisionsabout his or her care. The process of securing informed consent involves patient education by thepractitioner (Rock Hoebeke, 2014, pg. 4). Each patient is expected to be the guardian of theirown body, as long as they are of sound mind. A patient of sound mind may choose not to goahead with treatment, even if it is life-saving (Rock Hoebeke, 2014, pg. 2). American law doesnot permit the practitioner to have personal judgment over the client (Rock Hoebeke, 2014, pg.2), nor permit the practitioner to assert personal judgment over the client. According to Rock Hoebeke, Respect for human dignity requires the recognition of specific patient rights,particularly, the right of self-determination. Self-determination, also known as autonomy, is thephilosophical basis for informed consent in health care. Patients have the moral and legal right todetermine what will be done with their own person to be given accurate, complete, and apprehensible information in a manner that facilitates an informed judgment to be assisted withweighing the benefits, burdens, and available options in their treatment, including the choice ofno treatment to accept, refuse, or terminate treatment without deceit, undue influence, duress,coercion, or penalty (2014). It is therefore imperative each person entering into treatment hasthe means allowed to accept or disavow treatment by under which the means they understand it.Another point to consider regarding informed consent is that although a practitionermay appoint a receptionist or nurse to obtain the written informed consent, it is legally andethically the practitioners sole responsibility to ensure his or her client has been enlightened inregards to assessment and treatment. This cannot be delegated to a latter employee (Hock Roebeke, 2014, pg. 3). Ethically and legally reliability getting informed consent lies withinthe practitioner providing treatment, which includes also the risks and benefits of the treatment.Although missionary post clearly is appointed at the pathway of treatment when doing an assessment,the practitioner does so at the sole discretion that they are doing so risking liability. Those whohave been delegated this work should be properly trained as outlined in Standards 2.05 (APAEthical Principles of Psychologists and Code of Conduct, n.d.) which states those who aredelegated work have been properly trained (apa.org). Therefore the person witnessing the touch sensation is knowledgeable and looks for clues to determine if the person is lucid andcomprehends the informed consent. This ca n cause further ethical and legalsituations if each person providing informed written consent is not coherent.Finally, spontaneously signing the form by a patient should not be allowed. It isimperative that each patient reads and understands the forms they are signing. Signing without interpretation has been a habitual practice (Rock Hoebeke, 2014, p. 4). The receptionist, nurse, orother point of contact before seeing the practitioner is the advocate of the patient, thus shouldassess the patients understanding of treatment. In practice, I have taken clients into a nonpublicroom and read to them the informed consent forms to make sure they understand what they aresigning.I already employ all of these methods in my daily practice setting now when undertakingfirst contact, initial assessments, etc. I final cause to use the Ethics Code and guidelines in the samemanner in which I was trained. Because I am providing a service to people I must ensure theyunderstand the service they are receiving. If they are not able to read or write, I will read it forthem in a private setting, or if they require an interpreter I will employ Standard 2.05 (APAEthical Principles of Psychologists and Code of Conduct, n.d.) and hire a trained interpreter. Itis imperative I engage the Ethics Code in strict line with my work so that I am notjeopardizing my clients or also myself.ReferencesAPA Ethical Principles of Psychologists and Code of Conduct. (n.d.). Retrieved from http//memforms.apa.org/apa/cli/interest/ethics1.cfm10_01Fisher,C.B. (2013).Decoding the ethics code A practical guide for psychologists includes the 2010 APA amendments to the ethics code(3rded.). Los Angeles etc. SAGE.Hudgins, PhD,C., Rose, PhD,S., Fifield,P., Arnault,S. (2013).Navigating the Legal and Ethical Foundations of Informed Consent and Confidentiality in Integrated Primary Care(Vol. 31). Retrieved from American Psychological Association website http//eds.b.ebscohost.com.lib.kaplan.edu/eds/detail/Rock,M., Hoebeke,R. (2014). Informed consent whose duty to inform?MedSurgNursing,23(3), 4. Retrieved from http//eds.b.ebscohost.com.lib.kaplan.edu
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