Medical Ethics 5 - Consent

[@JHPMedicalUK]

Hi Guys, Please take a minute to write below where you are watching from. We would love to know. Much love, JHP Medical Team

[@amiah1224]

London I am planning to undertake a postgraduate course in medical ethics and law

[@JHPMedicalUK]

Wonderful! I'm sure you will get great satisfaction from the course. I hope you progress well. Dr Andrew Hart-Pinto

[@simplyadorable5952]

Philippines :) I would like to work there in the UK that is why I have to brush up my knowledge about your healthcare system there before planning to go on with my dream. This might also be ask during a job interview😁 Thanks a lot doctor. God bless!

[@JHPMedicalUK]

Greetings to you in the Philippines. I wish you luck in your endeavour to gain a position here in the UK. Our Clinical Governance Lecture is also a very common interview topic. *top tip* Much love, JHPMEDICAL

[@atheneaberdeen9926]

Trinidad and Tobago W.I.

[@goodfaker358]

1:16 consent continued 1:54 why is it important 2:48 refusal of consent 9:24 consent for mentally ill patients 9:44 consent in children

[@KMF3]

When do patients ever get this level of informed consent from their doctors?? I don't think I have ever had this level of informed consent with a doctor for any reason they're for any reason. And I think it's completely unethical.

[@fnhc2023]

Amen!!

[@levii5217]

Rip

[@anonnymous4684]

People should be aware that the NHS has a very broad and somewhat 'loose' interpretation of the concept of 'consent' which may well differ to your own. It can mean, for example, simply displaying posters in waiting room areas with information about a particular intervention they wish to perform. The fact that some people will be vision-impaired, don't speak English, or that not everyone will have noticed them, won't stop them from claiming that the patient has been informed and have, thus, granted their consent. Also, if you agree to blood tests, you should ALWAYS ask what they are testing for. Many people have been shocked to discover they were tested for HIV without the doctor even mentioning it passing beforehand. But again, they will argue that if you agreed to blood work that means you have implicitly consented to be tested for HIV.

[@ntamabahati415]

Am a Chaplain in a Hospital in the US, Very good content. Thank you

[@BlueGoblin1]

Voluntary consent without coercion. We live in Dark Times these days.

[@tharakaprem74]

Thank you so much dr. This lecture has greatly helped me to understand consent topic.

[@JHPMedicalUK]

Thank you for your feedback Tharaka Prem. I hope our lectures are assisting in your studies. We will be releasing more lectures on a weekly basis, so don't forget to subscribe! Much Love, JHP Medical UK

[@AnnaLVajda]

The Canadian Government is just completely ignoring this issue in regard to covid and a few years ago they gave a 16 year old opioids for a sports injury and his parents refused consent for that since gee he is not even allowed an alcoholic beverage till 19 legally anyway the boy subsequently overdosed and the hospital denied all accountability for that too. These are horrific times we live in when unwanted procedures and drugs are forced on people even minors just because someone has a medical degree?

[@Shanti001-ne7ww]

Superb lecture. Thank you

[@JHPMedicalUK]

+Shanti 001 Hi, thanks for watching. We are glad you find it useful

[@marshaphoebe3119]

Thank you so much dr.. now I can clearly understand about consent after watching this useful lecture✨

[@JHPMedicalUK]

Hi Marsha Thank you for watching and commenting. Its great to get feedback from our viewers. Much love JHPMEDICAL

[@silverwings9185]

How can a government make a medical test and vaccine mandatory, if a patient has the right to refuse?

[@JHPMedicalUK]

Thank you for this topical question. Ethically forcing a vaccination would be challenging as this would go against a patients autonomy. In the UK doing this without consent would be assault. However, these are challenging times and it will be interesting to see how governments react to the introduction of COVID immunisations. Watch this space! It would be interesting to hear your views, as we have students from around the globe. If you have any please write them below. Much love, Dr Andrew Hart-Pinto

[@Anji.14_]

this was very informative. the link to this video was provided by our lecturer.

[@JHPMedicalUK]

Thank you Anjali. Where are you studying? Very happy for your lecturer to refer to our videos. Much love, JHPMEDICAL

[@preetisharma9789]

Sir could you please tell me what is the difference between implicit and explicit consent and as well as three components of consent

[@wedfariqi2727]

This video is amazing and brilliant thank you very much for these useful information

[@JHPMedicalUK]

You are very welcome!

[@gaywest4298]

What about when medications are prescribed? I've never been told anything about any medication ever. Never gone through a consent procedure with a Doctor. I notice from forums, and other youtube videos, that many people go through the same.

[@adjoah1236]

When a patient is unconscious what kind of consent will be applicable.... direct, indirect, implied or informed.

[@JHPMedicalUK]

Great question, In this situation, the decision in the UK lies with the doctor. In this circumstance we would need to act in the best interest for the patient. Its common to involve numerous doctors also to support the decision. Much love Jhp medical

[@Kevin.Anthony3]

Does this rule apply to psychotherapists?

[@kierandesmond6479]

excellent. very clear and complete. Thank you.

[@JHPMedicalUK]

Thank you for your kind comments Kieran. If the lecture has been helpful please share with your colleagues

[@KMF3]

Doctors can put extreme pressure is pressure on people to consent to things that the doctor wants them to do

[@fnhc2023]

Especially young adults. Legal consent above 18yo is bs…imho

[@empressclementbushay7785]

When does a pharmacy professional need to gain consent?

[@EvieRenee]

Nicholasville, Kentucky

[@JHPMedicalUK]

Greetings to you Ivana from Kentucky Much love JHPMEDICAL

[@AliHussain-ze9dy]

If the child is in need of treatment but incompetent, and the parents refuse treatment, what is the right course of action?

[@suhaylasiman2918]

According to Gillic competent if 16 or 17 they can give a consent to accept a treat meant if a parent says no but they never refuse if a parent says yes

[@athuangangmei7891]

Dr. Can you please do it for confidentiality according to bio medical ethics

[@seemakadian7613]

Thankyou for this video.

[@paulsawford7328]

A question. A Dr wishes to drain a wound that is infected. Seeks verbal consent and receives it from the patient. The Dr then states, they would like to demonstrate the procedure to a junior dr. Halfway through the procedure, The senior Dr hands over the procedure to the junior dr, without seeking the patients consent for that to happen. Where does the standard of consent apply?

[@JHPMedicalUK]

Our consent forms state that there is no guarantee that a specific doctor will perform the procedure, and that anyone who does will be suitably qualified or supervised by a senior doctor

[@charlesscott27]

Routine infant circumcision should be illegal based on the argument in this video.

[@JHPMedicalUK]

As you know the WHO definition of Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Therefore consent can legally be provided for children undergoing circumcision given it would be in their best interest for health.

[@JHPMedicalUK]

It may also be worthwhile reviewing the literature if you have concerns. www.ncbi.nlm.nih.gov/pmc/articles/PMC3684945/

[@charlesscott27]

@@JHPMedicalUK Routine infant circumcision has no medical benefit. RIC is torturous mutilation of a human being regardless of what the WHO says.

[@JHPMedicalUK]

You clearly haven't read the article. Personal opinions in medicine are best avoided. Arguments should be factually based please.

[@abelteame1450]

How does informed consent play a role in patient centred care?

[@joodiimam8389]

Thank you so much for this information but I have a lot of questions can you tell me what is the right thing to do in these cases 1/ for unconscious pt the first-degree relatives refused emergency life-saving treatment on citing religious grounds what the physician should do?

[@JHPMedicalUK]

You would proceed with lifesaving treatment unless “written advance directive.” One of my old bosses put it in this way. “It is better argue in court why you have saved the persons life, rather than standing in-front of a coroner asking you why you let the patient die.” Obviously this is a complex scenario and best to involve as many doctors as possible in the decision. Essentially spreading the decision. You should also notify the hospital legal team after saving their life.

[@sradhanjalibehera7223]

I have a doubt ... please clarify Is implied consent can be legally valid?

[@ofundembesong5789]

Wow 👏 👏

[@deeptikumari6993]

How long conse t valid??

[@BrandeeP26]

Galax, Virginia

[@JHPMedicalUK]

Thank you for letting us know. Greetings to you in Galax. Much Love JHPMEDICAL

[@spsuresh9]

Very nice 👌

[@JHPMedicalUK]

Thank you Suresh !

[@boo_imdevil1382]

فلوق مو رفلكشن

[@stickyandsweetie]

This has changed now. Check out how awful the laws are now

[@JHPMedicalUK]

Hi please expand as where I'm working these principles are still in place. The only recent change is Montgomery vs Bolam. Whereby When seeking consent to treatment, the question of whether the information given to a patient is adequate is judged from the perspective of a reasonable person in the patient's position. Previously this was under Bolams principle, what a reasonable doctor would do. Not the patient. Thanks, Dr Andrew Hart-Pinto