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

In the medical field today, whe neer a procedure is t maven ending to be done on a tolerant, informed consent mustiness be given to the deposit from the tolerant prior the procedure pickings place. Informed consent is the approval given by the enduring to the doctor for treatment. In the case being discussed today, an 80 year old tolerant, with a history of congestive heart failure, is in the doctors office complaining of thorax pains. After an examination, the doctor believes the best course of treatment would be to watch a surgical procedure, in an attempt to save the patient roles life. During the examination however, the patient expresses the wish to just be able to die. There is no nourishment will or Do Not Resuscitate (DNR) on file. The patients wife is afraid of the surgery, while the daughter is for anything that could save her dads life. The get-go thing that needs to take place in this berth is the endeavor of the competency of the patient. By using the Understand-and-Appreciate method of determining competency, if the patient understands the situation and all the options that are available to him but also appreciates the options and understand the locating effect of treatment or lack there of treatment , the patient is deemed confident. On the flip side, if the patients requests fall too out-of-the-way(prenominal) outside the realm of what would be considered normal, that could help in determining whether or non to override the patients wishes due to no seven-day being considered competent. It is the belief that it is ethically justified to overrule the seriously wild decision of a competent patient. (Fredrick Adolf Paola, 2010) Under the assumption that during the last quin years of treating Patient X for congestive heart failure, he never men... ...rd battle to fight at times. The reasoning behind the refusal may not make sense to everyone, but as long as the patient has been deemed competent, the patients right to ch oose their own medical care becomes number one priority. If, on the other hand, circumstances have found the patient not competent, moving forward to acquire consent from the next of kin of the beg appointed surrogate of care is a must to ensure the patient receives the best medical care possible and results in an improved choice 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/ crowd/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 .