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Feedback: If the medical treatment or procedure involves a material risk of harm to the patient, the informed consent process should educate the patient about (1) the diagnosis; (2) the nature and purpose of the proposed treatment; (3) the material risks generally recognized and accepted by reasonably prudent physicians; (4) the likelihood of success; (5) the practical alternative treatments and their risks, benefits, and likelihood of success; and (6) the prognosis if the proposed treatment is not received. Requires educating the patient about the prognosis and material risks resulting from the patient's choice not to get the diagnostic test or proposed treatment. Informed refusal acknowledges patient autonomy in deciding what medical treatment to reject. For example, if the mole is huge, and there is a risk of a disfiguring scar, the physician may want to obtain informed consent. The type of consent when a patient voluntarily submits to a procedure with actual or apparent knowledge of what is about to transpire. In Tennessee, of the following, who has the highest priority to consent to medical treatment on behalf of patient? Acknowledges patient autonomy in deciding what medical treatment to reject. There may be similar cases where informed consent is appropriate. Patients who are illiterate or who do not speak English will learn nothing from a written form. Patient lacks the capacity to understand, make, or communicate his health care decisions.

It may be unethical for a psychiatrist to engage in a romantic relationship with a current or former patient. Because psychiatric patients are particularly vulnerable, a psychiatrist may violate ethical guidelines for psychiatrists if he or she has a romantic relationship with a current or former patient. Insist she get another doctor, but assure her that he will direct her care through her doctor. Recommend another qualified physician to treat his mother while continuing to act as a loving and concerned adviser. Feedback: The strongest argument to hold Specialist liable is to allege that the negligence occurred when the physician-patient relationship existed between Specialist and Patient. 2004) (the existence of a physician-patient relationship is an essential element of a medical malpractice case). Specialist is asked to give a second opinion regarding the appropriateness of performing a specific procedure on Patient. The need for his services ended after he gave his opinion. Patient dismissed him as her doctor when she did not contact him after his initial examination. Specialist did not withdraw as Patient's doctor because he did not give Patient notice of his withdrawal to give her time to find another doctor. 2004) (the physician-patient relationship is an essential element in a medical malpractice case). Believing she has arranged coverage for her on-call shift, Cardiologist leaves town. Some physicians question whether noncompliancy is a sufficient reason to terminate the relationship with a patient. Of the following, which is the preferred course of action for the physician? In the order of preference (depending upon the physician's determination that the person chosen has exhibited certain qualifications: (1) spouse, (2) adult children, (3) parents, (4) adult siblings, (5) any adult relative, and (6) any other adult who has exhibited special care and concern for the patient, is familiar with the patient's personal values, and is available and willing to serve. Yes, because it was medically advisable to do the additional procedure. No, because the patient was not aware the surgeon was going to remove his left testicle. The patient's claim for medical malpractice was dismissed, and the case proceeded to the jury for a determination on the claim for medical battery. If a patient can show that she was not aware that the physician was going to perform the procedure or that she did not authorize it, which of the following legal claims does she have? Despite the signed consent form, this issue went to the jury to determine whether the patient was aware that his left testicle may be removed, and if so, did he authorize the procedure. However, informed consent should always be in writing and noted in the medical record. Often, general consent is implied by the actions and statements of the patient.

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