Obtaining Consent

Question 1

Autonomy

Answer 1

Freedom to make one’s own choices and take actions based on one’s own personal values and beliefs

Question 2

Fidelity

Answer 2

Fulfilling one’s responsibility of trust

Question 3

What is the importance of autonomy and fidelity

Answer 3

• fundamental to consent
• in order to have autonomy you must have fiduciary relationship so there is trust

Question 4

What does personal autonomy encompass

Answer 4

Self rule free from controlling interference by others and from certain limitations such as inadequate understanding that prevents meaningful choice

Question 5

What are 2 conditions often considered and essential for autonomous decisions?

Answer 5

1. Liberty (independence from controlling influence)
2. Agency (capacity for intentional action)
   Freedom + capacity

Question 6

What is the authenticity condition

Answer 6

Values which guide actions and decisions of autonomous persons must be authentically “their own”

Question 7

What are the 5 conditions of the authenticity condition

Answer 7

1. Right to informed consent and right to include family
2. Not pressured
3. Granting of family decision making is authentic
4. Family is willing
5. Family is well motivated

Question 8

What is respect for autonomy

Answer 8

A professional obligation
Autonomous choice is a right not a duty

Question 9

Is autonomy the primes inter pares of the 4 main ethical principles

Answer 9

Autonomy is necessary component of the other 3
- people vary in individual perceptions of benefits and harms (beneficence and nonmaleficence)
- people are morally bound to laws, need to autonomously accept or reject (justice)

Question 10

What cases is respect for autonomy overriden

Answer 10

1. Someone has inadequate decision making skills
   - age/children
   - diminished capacity/dependent adult
2. When it conflicts with other principles

Question 11

When is respect for autonomy conflict with other principles

Answer 11

If public health is endangered
If there is potential harm to innocent others
If scarce resources are required

Question 12

What is the process of informed consent

Answer 12

Includes written and verbal processes
Enthusiastic yes

Question 13

What are examples of things included on consent forms

Answer 13

1. Expectations
2. Credentials
3. Contact info
4. Purpose
5. Option to withdraw
6. How to rescind consent

Question 14

How is fidelity and consent intertwined

Answer 14

Effective informed consent processes require trusting and collaborative relationship between professionals and clients