Competence to ConsentGeorgetown University Press, 16.09.1994 г. - 224 страници Free and informed consent is one of the most widespread and morally important practices of modern health care; competence to consent is its cornerstone. In this book, Becky Cox White provides a concise introduction to the key practical, philosophical, and moral issues involved in competence to consent. The goals of informed consent, respect for patient autonomy and provision of beneficent care, cannot be met without a competent patient. Thus determining a patient's competence is the critical first step to informed consent. Determining competence depends on defining it, yet surprisingly, no widely accepted definition of competence exists. White identifies nine capacities that patients must exhibit to be competent. She approaches the problem from the task-oriented nature of decision making and focuses on the problems of defining competence within clinical practice. Her proposed definition is based on understanding competence as occurring in a special rather than a general context; as occurring in degrees rather than at a precise threshold; as independent of consequential appeals; and as incorporating affective as well as cognitive capacities. Combining both an ethical overview and practical guidelines, this book will be of value to health care professionals, bioethicists, and lawyers. |
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Резултати 1 - 5 от 39.
... NECESSARY CAPACITIES FOR COMPETENCE TO CONSENT 154 INFORMABILITY AND DECISION MAKING 157 COGNITIVE AND AFFECTIVE CAPABILITY 167 RESOLUTION AND RESIGNATION IN DECISION MAKING RECOUNTING ONE'S DECISION - MAKING PROCESS CONCLUSIONS 183 ...
... necessary for minimal sensory - motor functions , for minimal consciousness , or for the individual to function as an inte- grated human person ) . It is quite a different thing to decide how to measure the loss of these functions to ...
... necessary conceptual starting point without which tests for competence are impossible . Similarly , I do not address competence within a legal context . Nor is any discussion included within the book intended to pass for legal advice ...
... necessary first step in the process of obtaining informed consent . If the patient is not competent , he is not the appropriate decision maker . If the patient is not the appropriate decision maker , the information must be provided to ...
... necessary interludes in their " real " lives . HCPs share this perspective and work to promote quick and full restoration of health or to mini- mize disability so patients can resume those lives . Since most patients give little or no ...
Съдържание
GENERAL VS SPECIFIC COMPETENCE | 83 |
THRESHOLD VS DECREE COMPETENCE | 95 |
CONSEQUENCEDEPENDENT VS CONSEQUENCEINDEPENDENT COMPETENCE | 106 |
COGNITIVE VS COGNITIVEAFFECTIVE COMPETENCE | 117 |
SUMMARY | 144 |
NOTES | 146 |
The Capacities that Define Competence to Consent | 154 |
INFORMABILITY AND DECISION MAKING | 157 |
24 | |
27 | |
MORAL IMPLICATIONS OF INFORMED CONSENT | 35 |
NOTES | 37 |
Current Confusion Surrounding the Concept of Competence | 44 |
CURRENT PROBLEMS WITH THE CONCEPT OF COMPETENCE | 53 |
SUMMARY | 74 |
NOTES | 75 |
Defining the Structure of Competence to Consent | 82 |
COGNITIVE AND AFFECTIVE CAPABILITY | 167 |
RESOLUTION AND RESIGNATION IN DECISION MAKING Resolution | 177 |
RECOUNTING ONES DECISIONMAKING PROCESS | 180 |
CONCLUSIONS | 183 |
Implications and Anticipated Criticisms | 185 |
ANTICIPATING THE CRITIC | 187 |
Bibliography | 193 |
Index | 203 |