Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-28T06:45:29.690Z Has data issue: false hasContentIssue false

11.8 - Legal and Ethical Issues in Intensive Care

from Section 11 - Professionalism, Patient Safety, Governance and Health Systems Management

Published online by Cambridge University Press:  27 July 2023

Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
Get access

Summary

Key Learning Points

  1. 1. The capacity to make an autonomous decision is central to all of modern medicine.

  2. 2. Valid consent requires the voluntary decision of an individual with capacity who has been given adequate information.

  3. 3. When a patient lacks the capacity to consent, then the justification for treating them is best interests.

  4. 4. Mediation is a process where the two (or more) sides of a dispute have a structured conversation to try and find a mutually acceptable resolution.

  5. 5. The results of mediation showed that between 60 and 90 per cent of disputes settled without the need to go to court.

Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
, pp. 758 - 760
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

References and Further Reading

Azoulay, E, Timsit, J-F, Sprung, CL, et al. Prevalence and factors of intensive care unit conflicts: the Conflicus study. Am J Respir Crit Care Med 2009;180:853–60.CrossRefGoogle ScholarPubMed
Canadian Centre for Elder Law. 2012. Report on elder and guardianship mediation. papers.ssrn.com/sol3/papers.cfm?abstract_id=2008347Google Scholar
Danbury, C, Newdick, C, Waldmann, C, Lawson, A (eds). Law and Ethics in Intensive Care. Oxford, NY: Oxford University Press; 2010.Google Scholar
Health and Social Care Information Centre. 2010. Hospital Episode Statistics. Adult Critical Care in England – April 2014 to March 2015. files.digital.nhs.uk/publicationimport/pub19xxx/pub19938/adul-crit-care-data-eng-apr-14-mar-15-rep.pdfGoogle Scholar
Sprung, CL, Cohen, SL, Sjokvist, P, et al. End-of-life practices in European intensive care units: the Ethicus study. JAMA 2003;290:790–7.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×