دانلود مقاله انگلیسی رایگان:ارزیابی خودمختاری و رضایت برای درمان تشنج الکتریکی (ECT): مطالعه گذشته نگر سوابق پزشکی - 2020
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دانلود مقاله انگلیسی حقوق جرم و جزا رایگان
  • Autonomy and consent assessment for electroconvulsive therapy (ECT): A retrospective study of medical records Autonomy and consent assessment for electroconvulsive therapy (ECT): A retrospective study of medical records
    Autonomy and consent assessment for electroconvulsive therapy (ECT): A retrospective study of medical records

    سال انتشار:

    2020


    عنوان انگلیسی مقاله:

    Autonomy and consent assessment for electroconvulsive therapy (ECT): A retrospective study of medical records


    ترجمه فارسی عنوان مقاله:

    ارزیابی خودمختاری و رضایت برای درمان تشنج الکتریکی (ECT): مطالعه گذشته نگر سوابق پزشکی


    منبع:

    Sciencedirect - Elsevier - International Journal of Law and Psychiatry, 77 (2021) 101716: doi:10:1016/j:ijlp:2021:101716


    نویسنده:

    Jørgen Dahlberg


    چکیده انگلیسی:

    The Norwegian Mental Health Act allows involuntary treatment for patients who lack consent capacity, however it allows only administration of pharmaceutical treatment and nutrition and not ECT. In lack of specific regu- lations, the legal access to ECT without valid consent has been grounded on the general rule of necessity in the Norwegian Penal code. This restriction and lack of legal regulation has implications for patients rights and legal security.The studys aim was to assess the documented consent provided by patients for electroconvulsive therapy (ECT), whether ECT was administered without valid consent or under coercion, and the documented reasons, and ultimately compare practice with the legal requirements. We analysed systematically all the relevant medical records for hospitalised patients and outpatients receiving ECT during 2011–2016. We categorized data from these two groups into seven defined categories describing the attitude and quality of the consents to the ECT (or lack thereof).378 patients received 498 ECT series´. The noted consents varied from treatment based on request (54 treat- ments), consent upon recommendation (209 treatments), consent after hesitation (88 treatments), consent presumed or noted without specification (114 treatments), to no consent (21 treatments) whereof the majority with documented coercion applied (19 treatments). All cases of ECT without consent referred to a “plea of ne- cessity”. The remaining treatments (12) lacked notifications specifying the consent (or attitude) expressed. Specific notes on the patients capacity to consent for the respective ECT were generally lacking.This study indicates a large spread in patients´ acceptance and valid consent to ECT. The main reason for administering ECT without consent and/or against patients will was for life-saving reasons. Such treatments were justified legal under a plea of necessity in the Penal Code or lacked noted legal justification. The legal vacuum for ECT without a valid consent needs to be addressed as this kind of disputed treatment is used in some cases.
    Keywords: Autonomy | Electroconvulsive | Coercion | Informed consent | Medical law | Mental capacity


    سطح: متوسط
    تعداد صفحات فایل pdf انگلیسی: 6
    حجم فایل: 348 کیلوبایت

    قیمت: رایگان


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