超越个人和身体的知情同意。

Q2 Medicine
G V Lacasella, K Karaboue
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引用次数: 0

摘要

摘要:个人选择的权力已经克服了过去只控制病人的存在或身体的界限,现在考虑到替代同意,即第三方表达的同意,以及对不再是人体一部分的细胞、组织和器官的管理,这些部分以前被认为是外科手术的废物,今天已成为无价的研究对象。就在十多年前,医生做出决定,病人按照医生说的去做。医生不习惯询问病人的愿望和优先事项是什么;他们经常对他们隐瞒重要信息,病人被当作孩子对待:“太脆弱,太无知,无法面对真相,更不用说做决定了。”病人有时被绑在机器上,被迫服用药物,并在不征求他们意见的情况下接受手术。同意原则构成了更广泛的个人自由原则的自然推论,并被一个人的身体和思想的排他性所证实,因为这个人不能受到强迫或侵犯他或她的身体领域或道德自由;医生对病人的任何权力或义务的唯一和排他性来源是病人本人的同意,这是所有医疗活动的法律授权的焦点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
INFORMED CONSENT Beyond The Person and The Body.

Abstract: Individual power of choice has overcome the old boundaries which governed only a patient's existence or body and now takes into account surrogate consent, i.e. that expressed by a third party, as well as the management of cells, tissues and organs that are no longer part of the person, parts that were previously considered surgical waste and that today have become priceless objects of research. Just over a decade ago doctors made the decisions and patients did what they were told. Doctors were not used to asking patients what their wishes and priorities were; they often withheld vital information from them and patients were treated like children: "too fragile and clueless to face the truth, let alone make decisions." Patients were sometimes attached to machines, forced to take drugs, and subjected to operations without their opinion being sought. The principle of consent constitutes a natural corollary of the broader principle of personal freedom and is substantiated by the exclusivity of one's body and mind in that the person cannot be subjected to coercion or violation of his or her bodily sphere nor moral freedom; any power or duty of the doctor over the patient finds its sole and exclusive source in the consent of the patient themselves, representing the focal point of all legal authorisation of medical activity.

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来源期刊
Clinica Terapeutica
Clinica Terapeutica PHARMACOLOGY & PHARMACY-
CiteScore
2.50
自引率
0.00%
发文量
124
审稿时长
6-12 weeks
期刊介绍: La Clinica Terapeutica è una rivista di Clinica e Terapia in Medicina e Chirurgia, fondata nel 1951 dal Prof. Mariano Messini (1901-1980), Direttore dell''Istituto di Idrologia Medica dell''Università di Roma “La Sapienza”. La rivista è pubblicata come “periodico bimestrale” dalla Società Editrice Universo, casa editrice fondata nel 1945 dal Comm. Luigi Pellino. La Clinica Terapeutica è indicizzata su MEDLINE, INDEX MEDICUS, EMBASE/Excerpta Medica.
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