Informed Consent, Refusal, and Competence Essay -- the patients’ right

In the health check field today, whenever a procedure is going to be done on a patient, informed consent must be given to the doctor from the patient prior the procedure taking place. apprised consent is the approval given by the patient to the doctor for treatment. In the case be discussed today, an 80 year old patient, with a account of congestive heart failure, is in the doctors office complaining of chest pains. after(prenominal) an examination, the doctor believes the outstrip course of treatment would be to have a surgical procedure, in an attempt to save the patients life. During the examination however, the patient expresses the proclivity to just be able to die. There is no Living testament or Do Not Resuscitate (DNR) on file. The patients wife is afraid of the surgery, while the daughter is for any social function that could save her dads life. The first thing that needs to take place in this situation is the determination of the competency of the patient. By using the Understand-and-Appreciate method of determining competency, if the patient understands the situation and both the options that are available to him but also appreciates the options and understand the side subject of treatment or lack there of treatment , the patient is deemed confident. On the flip side, if the patients requests fall too far amend(prenominal) the realm of what would be considered normal, that could help in determining whether or not to override the patients wishes due to no longer being considered competent. It is the belief that it is ethically justified to overrule the seriously irrational finding of a competent patient. (Fredrick Adolf Paola, 2010) Under the assumption that during the last five days of treating Patient X for congestive heart failure, he never men... ...rd troth to fight at times. The reasoning behind the refusal may not shew sense to everyone, but as long as the patient has been deemed competent, the patients right to choose their own medical caveat becomes number one priority. If, on the other hand, circumstances have found the patient not competent, abject forward to acquire consent from the next of kin of the court appointive surrogate of care is a must to ensure the patient receives the best medical care possible and results in an improved quality care of life for the patient.Works CitedCompetency to make medical decisons. (n.d.). Retrieved 07 03, 2011, from Stanford. Edu http//www.stanford.edu/group/psylawseminar/Competency.htmFredrick Adolf Paola, R. W. (2010). medical Ethics and Humanities. Juonesd and Bartlett Publiushers.Lecture notes for HLT-305. (2011, 07 03). State University .