Social Science Question

Reply to the student’s discussion post below…please elaborate on what the student is talking about and cite any sources used

discussion:

In healthcare, informed consent, decision-making capacity, and legal competence are important in following ethics in healthcare.
Strini et al. (2021) define informed consent as the process in which a patient decides freely and independently whether to start or continue treatment after receiving specific information in which the patient has a complete understanding of the treatment course such as risks and benefits. As a nurse, informed consent occurs daily; when providing care to a patient rather for a surgical procedure or for obtaining lab work, or even when performing a head-to-toe assessment. As for a surgical procedure, Strini et al. (2021) indicated that a nurse can be integral to the process of informed consent by ensuring comprehension of the treatment, facilitating documents of consent, addressing patient anxiety, and helping identify appropriate surrogate decisions maker when needed.

Amaral et al. (2022) state decision-making capacity is a person’s ability to understand the medical problem, the purpose of treatment, its risk and benefits, and reasoning. I have actually assessed one of my patient decision-making capacities recently before having a surgical intervention to an infected abdominal wound, such as a wound vac change, and washout performed at the site. I remember walking into the patient’s room just minutes after the surgeon had discussed the treatment plan and asking the patient what type of surgery he was having and if he was okay with the treatment plan. The patient’s responded, “I am not sure, he said something about my stomach. Yes, I am okay; it is just another surgery”. In the scenario, the patient did not understand the reason for the surgery nor was he well informed or had a clear understanding of the treatment plan. Therefore, causing the patient to have the poor capacity in his decision. This was followed up by having the surgeon explain the treatment course again in terms that the patient could understand.

“Legal competence is presumed – to disprove an individual’s competence requires a hearing and presentation of evidence. Competence is determined by a judge” (Libby et al., 2022). I have seen legal competence take place in patients with dementia or patients that have experienced Wernicke’s encephalopathy related to alcohol or drug abuse that has caused irreversible brain damage and led to confusion and a decrease in a person’s physical activities.
Therefore, a patient’s decision-making capacity should always be assessed before obtaining informed consent to assure the patient understands the treatment plan. As healthcare professionals, we have probably all experienced this through our profession.

References

Amaral, A. S., Afonso, R. M., Simões, M. R., & Freitas, S. (2022). Decision-Making Capacity in Healthcare: Instruments Review and Reflections About its Assessment in the Elderly with Cognitive Impairment and Dementia. Psychiatric Quarterly93(1), 35–53. https://doi.org/10.1007/s11126-020-09867-7

Libby, C., Wojahn, A., Nicolini, J. R., & Gillette, G. (2022). Competency and capacity. National Library of Medicine. Retrieved September 5, 2022, from https://www.ncbi.nlm.nih.gov/books/NBK532862/

Strini, V., Schiavolin, R., & Prendin, A. (2021). The Role of the Nurse in Informed Consent to Treatments: An Observational-Descriptive Study in the Padua Hospital. Clinics & Practice11(3), 472–483. https://doi.org/10.3390/clinpract11030063

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more