Odom J G, Odom S S, Jolly D E
Section of Community Dentistry at The Ohio State University College of Dentistry.
Spec Care Dentist. 1992 Sep-Oct;12(5):202-6. doi: 10.1111/j.1754-4505.1992.tb00448.x.
Dental professionals are increasingly aware of their ethical responsibility to permit patients to participate in treatment decisions through the informed consent process. At the same time, growing numbers of geriatric patients present special challenges that can jeopardize the use of informed consent. Consequently, the use of informed consent with geriatric patients warrants special analysis due to complicating factors such as patient passivity and questionable competency. This article establishes the relationship between the ethical principle of autonomy and informed consent while examining factors that must be present in order for a valid informed consent to be obtained. Additionally, the article addresses informed consent issues regarding competent patients, geriatric patients with fluctuating or uncertain competency, and patients who are clearly incompetent.
牙科专业人员越来越意识到他们在道德上有责任让患者通过知情同意程序参与治疗决策。与此同时，越来越多的老年患者带来了特殊挑战，可能会危及知情同意的使用。因此，由于患者被动性和能力存疑等复杂因素，对老年患者使用知情同意需要进行特别分析。本文在探讨获得有效知情同意必须具备的因素的同时，确立了自主伦理原则与知情同意之间的关系。此外，本文还讨论了关于有行为能力的患者、能力波动或不确定的老年患者以及明显无行为能力的患者的知情同意问题。
