Bien Ag Nina Ian John “G” Rachel Mark Jocelle Edo Gienah Jho Kath Aynz Je Glad Nickie

Ricobear Teacher Dadang Niňa Arlene Vivs Paul fie Rico F. Ren Mai Revs Mavis Jepay Yana Mayi

S3 L3: Informed Consent Pretrans Edition

MD-Pt RELATIONSHIP Case study 1

 Unequal A 16 yr old adolescent has come to a clinic where you work as a
doctor. She said is around 12 wks pregnant but has not told anyone, not
 Relationship based on trust
even her parents or boyfriend. She is scared for fear of losing her boyfriend.
 Interplay of cultural factors affect relationship
She wants an abortion, cash money and does not want anyone to know
 Changes in delivery of health services
about her pregnancy.

Definition
Case study 2
 Assent or agreement or compliance with the treatment
A mother who lost her mind because of depression is now faced
plan/plan of management/ medications/surgical
to decide whether she will consent to a total hysterectomy. Her husband is
procedure/research protocol
an overseas contract worker who was only informed of the situation a few
weeks upon his arrival in Dubai.
Relevance
 Facilitates recovery/cure Case study 3
 Increases compliance A granny who is all by herself in an institution has suffered a
 Promotes trust stroke. Her nearest kin is a son who is working in the province with 3 young
 Protects physicians from liabilities kids to take care of. Her daughter-in-law, a nurse, cannot take on the role of
a caregiver because she is the breadwinner, being a head of a nursing
INFORMED CONSENT school.
Serge Hung Tope

Prerequisites Have You Heard of the Four Spiritual Laws?

1. Competence
2. Adequacy of information LAW # 2.
3. Voluntary Man is SINFUL and SEPARATED from God. Therefore, he cannot
know and experience God's love and plan for his life. 
Competence Man Is Sinful "All have sinned and fall short of the glory of God"
 Capable of receiving information (Romans 3:23). Man was created to have fellowship with God; but,
 Capable to remember received information because of his stubborn self-will, he chose to go his own independent
 Capable to make a sound decision way, and fellowship with God was broken. This self-will,
 Capable to use relevant information in making a sound characterized by an attitude of active rebellion or passive
decision indifference, is an evidence of what the Bible calls sin. Man Is
 Capable to appropriately assess relevant clinical information Separated "The wages of sin is death" [spiritual separation from God]
(Romans 6:23).
Adequacy of information
 Benefits of treatment plan/procedure This diagram illustrates that God is holy and man is sinful. A great gulf
separates the two. The arrows illustrate that man is continually trying to
 Risks
reach God and the abundant life through his own efforts, such as a good life,
 Adverse effects philosophy, or religion - but he inevitably fails. The third law explains the only
 Prognosis way to bridge this gulf... 
 Costs
 Details of the procedure

Voluntary
 Second opinions
 Previous experiences
 Quid pro quo

Valid
 Lack of coercion
 Lack of intimidation
 Lack of force

PETHICS
REBORN
Bolder – Faster – Radical
Page 1 of 1