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M E V E L L E L . A S U N C I O N
The Moral Issue of Patients Rights
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Woman became pregnant by accident rather than bydesign justifies
her decision t0 abort the fetus byappealing to her right to privacy
and self
determination. The fetus, however, also has the rightto life.
How much weight do we assign to theseconflicting rights? Which
rights takes precedence?
Discuss autonomy, utility, situationism, andnaturalism
principles
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Patients rights
The moral and inviolable power vested in him asa person to do,
hold or demand something on his
own.
Types of Patients Rights
1. Right to informed consent
2. Right to informed decision3. Right to informed choice
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Four major elements of informed consent
Competence
One has made adecision
One has the capacity to justify ones choice
One does not justify ones choice but does so in
reasonablemanner
Disclosure
Comprehension
Voluntariness
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Right to refuse treatment
Right to die
Freedom of choice
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Limitations of Patients rights
2 methods of obtaining informed consent
Written consent
Verbal consent
In emergency cases the types of patient need notrequire informed
consent Comatose obtunded patient
Blind or illiterate patients
Underaged patients Language barriers
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Rights of Patients
1. Right to considerate and respectful care2. The patient has
the right to obtain from his physician
complete current information concerning his diagnosis,treatment,
and prognosis in terms that the patient can
be reasonably expected to understand3. The patient has the right
to receive from his physician
information necessary to give informed consent priorto the start
of any procedure and/or treatment
4. The patient has the right to refuse treatment to the
extent permitted by law and to be informed of themedical
consequences of his action5. Right ot every consideration of his
privacy concerning
his medical care program
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6. The patient has the right ot expect all communicationsand
records to his care should be treated as confidential
7. The patient has the right ot expect that, within itscapacity,
the hospital must provide a reasonable
response to his her request for services8. Right to obtain info
regarding any relationship of his
hospital to tother health care and educationalinstitutions
insofar as his care is concerned
9. The patient has the right to be advised if the
hospitalproposes to engage in or perform humanexperimentation
affecting his/her care of treatment.Right to refuse to participate
in such research projects
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10. The patient has the right to expect reasonable
11. The patient has the right to examine and receive
anexplanation of the hospital bill, regardless of source
of payment12. Patient has the right to know the hospital rules
and
regulations apply to his her conduct as a patient.
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CASE HISTORY
A 26 years old male patient with a HIV (+) test refuses to
believe hisdiagnosis and does not accept to undertake any
complementarystudies (e.g. CD4+ T cell count, levels of HIV RNA in
serum plasma,etc.) and treatment. Five years later, the patient had
to be admittedto the Intensive Care Unit for the treatment of
respiratory failuresecondary to Pneumocystis Carini pneumonia. He
had CD4+ T cell
count
