Giordano Orsini P, Del Vecchio S
Istituto di Medicina Legale e delle Assicurazioni, Universitè degli Studi di Roma La Sapienza.
Minerva Stomatol. 1994 May;43(5):223-8.
The authors reiterate the necessity of informed consent in medical and surgical care. The importance of patient's consent is represented by significance that law grants to the psychic and physical health of the citizen and to his right to be protected. This paper considers the problem of informed consent relatively to the dental therapy of handicapped patient, that can't always undergo an operation in ambulatory and that often needs to be cured with general anaesthesia. The patients causing more difficulties to the doctors, with regard to the acquisition of informed consent, certainly are persons of unsound mind and subjects with sensorial alterations. In fact, for the others, is admitted a volitive and cognitive capacity resembling to their age. Certainly, it's possible to obtain a sufficient management of this patient's category. Finally, the authors underline the importance of prevention to improve dental status of the handicapped, and to avoid increase of patients that come to medical observation when their pathology needs of treatment with general anaesthesia.
作者重申了在医疗和外科护理中知情同意的必要性。患者同意的重要性体现在法律赋予公民身心健康以及其受保护权利的重要意义上。本文探讨了与残疾患者牙科治疗相关的知情同意问题，这些患者往往无法在门诊进行手术，且常常需要全身麻醉进行治疗。在获取知情同意方面给医生带来更多困难的患者，无疑是心智不健全者和有感官障碍的患者。事实上，对于其他患者，假定其具有与其年龄相符的意志和认知能力。当然，对这类患者进行充分管理是可行的。最后，作者强调了预防的重要性，以改善残疾患者的牙齿状况，并避免在其病情需要全身麻醉治疗时前来就医的患者数量增加。
