An Informed Refusal
of Care form can educate an uninformed or misinformed patient, or prompt a discussion with a well-informed patient
One can infer from the facts of the case that no opportunity for an "informed refusal
" had presented itself.
Is this truly a competent, informed refusal
Document any discussion you have about informed consent and informed refusal
Documentation is not technically an element of informed refusal
, but risk management professionals believe that physicians should make a notation of such a conversation in the medical record at the time the patient states she refuses the procedure.
Among its provisions, patients are accorded the right of informed consent while being denied the right of informed refusal
. Instead, refusals are resolved by committees that are accorded juridical status to resolve patient-doctor disputes and, if necessary, impose treatment.
This supposition is supported by the unusual practice, in California, of requring that patients not only sign a consent form when accepting testing but an informed refusal
form if they reject testing.
If physicians fear that they can never prove "informed refusal
" of testing, they will be driven to perform genetic tests even when their patients do not want them.
Supreme Court, Nancy's parents appear to concede the point that her previous expressions do not constitute informed refusal
. However, they claim that, while the Missouri court "did not dispute that these long protected autonomy rights exist for competent persons, it "erred dramatically ...
Conscientious objectors have noted that informed refusals
, already carrying force in law, have in the past been overthrown on the grounds that refusal was made without adequate information, or that the conditions were not completely relevant, or that refusal was itself suggestive of incompetence--all circumstances where others' views of the best interest of patients rather than their self-determination become controlling.