Another case where the hospital had good intentions but did not follow the correct protocol, is Heath v. Peachtree Parkwood Hospital, Inc.18 A woman was detained in a psychiatric facility for 3 days without her consent. As in the previous case, no involuntary commitment documents were completed. After this period, an assessment found to be a hazard and involuntary commitment documents were closed. She successfully sued the doctors and hospital who cared for her during the first 3 days, but dismissed the doctors who followed the treatment.18 Both cases emphasize the importance of proper legal documentation. While there are times when it is obvious that someone is not capable — they may be unconscious — in most cases, people are still able to make certain decisions. One of the really difficult questions is the extent to which a person`s ability must be compromised before losing his or her right to make a decision. We have already seen in the toolkit how important it is to respect autonomous decisions and how this translates into the requirement to obtain informed patient approval. If the patient`s consent makes an intervention legally and ethically acceptable, how can we act if the individual is unable to accept? (If the person is a child and is unable to make a decision because of immaturity, those with parental responsibility can give their consent on behalf of the child). Where adults are not capable, other people have to make the choice.
“The general rule of English law, regardless of the context, is that the capacity review is the ability (if you decide to exercise it) to understand the nature and quality of the transaction.” There is no simple answer. British law takes a functional and specific approach to decision-making. He asked whether the individual was able to make a concrete decision at a given time and whether he was not in a position to make decisions in general. The more complicated or serious the decision, the greater the performance evidence required to adopt it, and the more thorough the capacity assessment and the overall view of capacity assessment. Explicit consent is expressly written or oral (z.B. the patient expressly states that he agrees or signs a consent form). This is recommended when informed consent is required for treatment, for example. B the manipulation of the cervix, as it offers the clearest form of consent and often fulfills legal obligations. The battery is the intentional addition of harmful or offensive physical contact. (For a full definition, see Figure 3.) 13 Courts protect “human sanctity,” “physical integrity” and “personal autonomy” as a fundamental personal right.14 “intentionally” simply implies that the actor intended to do the act, regardless of whether the intention was to assist the patient. A doctor should never physically penetrate or touch a competent patient without his consent, or the doctor may be held responsible for the battery. Eligible damages may be “general,” for example.
B compensation for damages caused, and “especially,” such as compensation for medical expenses, lost wages and other expenses. These may not be covered by standard insurance for medical errors. The principles of the evaluation of intellectual performance indicate that mental performance must be accepted unless there is evidence to the contrary. When a work disability is found due to a learning disability, a psychological or neurological impairment that may influence understanding, assessment or decision-making, the physician must continue to support patient autonomy where possible. For more information on the evaluation of intellectual performance, please visit this link. When knowingly collecting, the physiotherapist must be able to trust that the patient is receiving treatment and that the risk is minimal.