Whitcher John
Accident and Emergency Department, Royal Gwent Hospital.
Nurs Stand. 2008;23(9):35-42. doi: 10.7748/ns2008.11.23.9.35.c6718.
The issue of consent is complex but fundamental to the provision of medical care. Most patients who attend an emergency department will be able to make their own decisions regarding the care they receive. Patients who are seriously injured or have reduced or absent capacity may have to rely on healthcare professionals to make decisions on their behalf. Healthcare professionals must ensure that they act as patient advocates and that medical care and treatment are carried out in patients' best interests. This article addresses issues relating to consent in emergency departments.
同意问题很复杂,但对于提供医疗服务而言却是根本性的。大多数前往急诊科就诊的患者能够就其所接受的治疗自行做出决定。受重伤或能力下降或丧失能力的患者可能不得不依靠医护人员代表他们做出决定。医护人员必须确保自己充当患者的代言人,并且医疗护理和治疗要以患者的最大利益为出发点来进行。本文探讨与急诊科同意问题相关的事宜。