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 52.
... 37 3 Current Confusion Surrounding the Concept of Competence 44 DEFINITIONS OF COMPETENCE 44 CURRENT PROBLEMS WITH THE CONCEPT OF COMPETENCE 53 SUMMARY 74 NOTES 75 13 13 vii 4 Defining the Structure of Competence to Consent DECISION -
... problems with previous efforts to define competence are considered . The analy- ses of the nature of decision making and of past definitional difficul- ties point toward a preliminary definition of both the capacities and the structure ...
... problems of defining competence within clinical practice , and completely eschews consideration of any particular laws in light of which actual cases are adjudicated . Lastly , I do not attempt to justify the nature or the use of the ...
... problem is time - consuming , wasteful , impossible , and threatening to patient welfare - or , impractical . Thus , in the absence of evidence of incompetence , the better approach is to assume competence and devote professional ...
... problems , weigh the pros and cons of different solutions , and decide what to do . While HCPs have little access to the majority of their patients ' day - to - day decisions , they do have some evidence ... problem . Patients solicit ( or.
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 |