Consider the following case & discuss whether the conditions of informed consent were met. In addition to posting your own response, you must responding to the postings of another classmate. Warren Hayes was admitted to Community Hospital for surgical treatment of a duodenal ulcer. Mr. Hayes’s attending physician, Dr. Henry Smith, described Mr. Hayes as a "very excitable and occasionally irrational man." He warned Dr. Stiles not to excite him because under pressure he sometimes becomes very muddled and even unstable. Dr. Stiles went over the possible risks of the surgery with Mr. Hayes, but, because of what Dr. Smith had said, and because of its remote possibility, Dr. Stiles avoided discussing the improbable event of postoperative internal bleeding. Mr. Hayes signed the attached informed consent document prior to surgery by Dr. Andrew Stiles. Ten days after the surgery, complications developed. Mr. Hayes began to experience severe pain, and, when he went into shock, he was brought back to the hospital. Emergency surgery was performed and internal bleeding was discovered at the base of the spleen. The spleen was removed in this surgery. For about six weeks Mr. Hayes seemed to be doing well. However, in the eighth week after the first surgery, Mr. Hayes began to experience severe gastric pains that were diagnosed as being caused by a gastric ulcer. A third surgery was performed involving the removal of 50 percent of Mr. Hayes's stomach in order to reduce the stomach's ability to produce acid. While hospitalized for his third surgery, he became aware of the existence of the hospital ethics committee and called the chair, Dr. Collins. He was angry because he was not told about these possible consequences of the surgery. He said that Dr. Stiles had merely said that "there might be some problems with the surgery, but that given my condition, (he) would like to schedule the surgery immediately." According to Mr. Hayes, Dr. Stiles has said that if problems did arise, that he (Dr. Stiles) and the staff could "take care of them." Mr. Hayes did admit to signing the attached informed consent document but said that he really did not understand what he was getting into.
Consider the following case & discuss whether the conditions of informed consent were met. In addition to posting your own response, you must responding to the postings of another classmate.
Warren Hayes was admitted to Community Hospital for surgical treatment of a duodenal ulcer. Mr. Hayes’s attending physician, Dr. Henry Smith, described Mr. Hayes as a "very excitable and occasionally irrational man." He warned Dr. Stiles not to excite him because under pressure he sometimes becomes very muddled and even unstable. Dr. Stiles went over the possible risks of the surgery with Mr. Hayes, but, because of what Dr. Smith had said, and because of its remote possibility, Dr. Stiles avoided discussing the improbable event of postoperative internal bleeding. Mr. Hayes signed the attached informed consent document prior to surgery by Dr. Andrew Stiles. Ten days after the surgery, complications developed. Mr. Hayes began to experience severe pain, and, when he went into shock, he was brought back to the hospital. Emergency surgery was performed and internal bleeding was discovered at the base of the spleen. The spleen was removed in this surgery. For about six weeks Mr. Hayes seemed to be doing well. However, in the eighth week after the first surgery, Mr. Hayes began to experience severe gastric pains that were diagnosed as being caused by a gastric ulcer. A third surgery was performed involving the removal of 50 percent of Mr. Hayes's stomach in order to reduce the stomach's ability to produce acid.
While hospitalized for his third surgery, he became aware of the existence of the hospital ethics committee and called the chair, Dr. Collins. He was angry because he was not told about these possible consequences of the surgery. He said that Dr. Stiles had merely said that "there might be some problems with the surgery, but that given my condition, (he) would like to schedule the surgery immediately." According to Mr. Hayes, Dr. Stiles has said that if problems did arise, that he (Dr. Stiles) and the staff could "take care of them." Mr. Hayes did admit to signing the attached informed consent document but said that he really did not understand what he was getting into.
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