Butterworth Cathy
Commission for Social Care Inspection, Taunton.
Nurs Stand. 2005;19(20):40-5. doi: 10.7748/ns2005.01.19.20.40.c3791.
Obtaining informed consent is a fundamental part of the care-giving process. Current policy documents emphasise the importance of including patients in planning their care. This article explores the concept of consent and the challenges to this concept for older people in long-term care, where consent is not a one-off event requiring a 'consent form', but just one stage in the continuum of involvement for service users. At one end of the spectrum, service users may be unaware that they have a service user plan (care plan), while at the other end they may be enabled to complete an advance statement of their wishes, thus demonstrating significant involvement in planning their care.
获得知情同意是护理过程的一个基本部分。当前的政策文件强调让患者参与护理计划的重要性。本文探讨了同意的概念以及长期护理中的老年人在这一概念上面临的挑战，在长期护理中，同意并非一次性事件，不需要一份“同意书”，而是服务使用者持续参与过程中的一个阶段。在这个范围的一端，服务使用者可能不知道他们有一份服务使用者计划（护理计划），而在另一端，他们可能能够完成一份关于自己愿望的预先声明，从而表明他们在很大程度上参与了护理计划。
