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concent is a lawful agreement b/w doctor and patient

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  1. 1. CONSENT <ul><li>The word ‘consent’ is both a verb and a noun; </li></ul><ul><li>meaning: to agree or to say ‘yes’ </li></ul>
  2. 2. <ul><li>For Treatment:- </li></ul><ul><li>Consent would include any procedure under taken for the purpose:- </li></ul><ul><li>Diagnosis </li></ul><ul><li>Anaesthesia </li></ul><ul><li>Fluid infusion </li></ul><ul><li>Blood transfusion </li></ul><ul><li>Any operation </li></ul><ul><li>Any form of medical/ surgical treatment </li></ul>
  3. 3. <ul><li>For the purpose of study , ‘consent’ can be divided into:- </li></ul><ul><ul><li>Legal position </li></ul></ul><ul><ul><li>Consent taking procedure </li></ul></ul><ul><ul><li>Factors modifying the procedure </li></ul></ul>
  4. 4. a) LEGAL POSITION <ul><li>General rule of conduct ­ application of force or contact with a person ­ without his permission is ­ assault ­ so; </li></ul><ul><li>Any person suffering from a disease ­ injury is not bound to submit to medical treatment. Patient is owner of his body ­ so permission is a must before any medical procedure is performed, but permission does not allow the M.P to refrain from duty to exercise skill and care. Consent should be fair and full. Nature and possible risk of treatment should be told. </li></ul>
  5. 5. <ul><li>Truth should not effect the treatment </li></ul><ul><li>Information must be forwarded at least to nearest relatives </li></ul><ul><li>Good faith in the interest of patient </li></ul>
  6. 6. <ul><li>Person above 16 should give consent independently </li></ul><ul><li>Below 16- consent from parents/ guardian </li></ul>
  7. 7. TYPES OF CONSENT <ul><li>Implied (understood) in emergency </li></ul><ul><li>Expressed </li></ul><ul><ul><li>Oral </li></ul></ul><ul><ul><li>Written </li></ul></ul>
  8. 8. BLANKET CONSENT <ul><li>Incomplete, vague consent without any proper information, risks and nature of treatment </li></ul><ul><li>This method is being followed by almost all hospitals in Pakistan </li></ul>
  9. 9. b) Procedure (in our country) <ul><li>No specific procedure in our country </li></ul><ul><li>Many complications </li></ul><ul><li>Two, three lines in a fixed language available </li></ul>
  10. 10. C) Modified Procedure <ul><li>Infants and minors </li></ul><ul><li>Unconscious persons </li></ul><ul><li>Married patients (for organs of generation) </li></ul><ul><li>Patient of unsound mind </li></ul><ul><li>Organ transplantation </li></ul>
  11. 11. PROPER PROCEDURE <ul><li>Consent fair and full </li></ul><ul><li>Explaining the nature of disease </li></ul><ul><li>Explaining the nature of treatment </li></ul><ul><li>Explaining the nature of operation etc. </li></ul><ul><li>Explaining the nature of anesthesia </li></ul><ul><li>Explaining the nature of all possible risks </li></ul><ul><li>Explaining the nature of all possible benefits </li></ul>
  12. 12. Section 90-PPC Consent known to be given under fear and misconception <ul><li>A consent is not such a consent as is intended by any action of this Code, if the consent is given by a person under fear of injury or under a misconception of fact, and if the person doing the act Knows, or has reason to believe, that the consent was given in consequence of such fear or misconception; or </li></ul>
  13. 13. CONSENT OF INSANE PERSON <ul><li>If the consent is given by a person who, from unsoundness of mind, or intoxication, is unable to understand the nature and consequence of that to which he give his consent; or </li></ul>
  14. 14. CONSENT OF CHILD <ul><li>Unless the contrary appears from the context, if the consent is given by a person who is under 12 years of age. </li></ul>
  15. 15. COMMENTS <ul><li>This section is describes what is not consent. </li></ul>
  16. 16. <ul><li>This section says that a consent is not a true consent if it is given: </li></ul><ul><ul><li>By a person under fear of injury </li></ul></ul><ul><ul><li>By a person under a misconception of fact </li></ul></ul>And the person obtaining the consent knows or has reason to believe this
  17. 17. <ul><ul><li>By a person of unsound mind </li></ul></ul><ul><ul><li>By a person who is intoxicated; </li></ul></ul><ul><ul><li>By a person under 12 years of age </li></ul></ul>And who is unable to understand the nature and consequent of that to which he gives his consent