Hospitalization,Informed,Conse health Hospitalization - Informed Consent
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Major surgery, for example, open-heart surgery or the removal ofa malignant tumor, carries some risk of death during or shortly afterthe operation, so the decision to consent is not usually granted asquickly as in an emergency. There is no immediate urgency in terms ofhours, but the likely outcome without surgery in terms of life orequality of life is again so poor that the necessity to consent isobvious.The decision to consent to elective surgery is often the mostdifficult to make. Although surgery in these conditions offers reliefof symptoms, the disorder itself is unlikely to shorten life. A goodexample of this type of surgery is a total hip replacement forarthritis of the hip. Walking may be severely limited by pain andactivity generally reduced, but the patient must personally decidewhether the risk carried by any form of surgery is worth taking.If elective surgery has been recommended, you must discuss theproblem with your family physician, who can give you all of the factsclearly and explain any possible aftereffects before you sign theconsent form.Another point worth remembering is that if you are undergoingexploratory surgery, for example, to discover whether a lump in thebreast is cancer, the consent form may include the operation that thesurgeon will have to perform if the result is malignant. The surgeonwaits until the pathologist's report is returned and makes the decisioneither to close up the incision or to remove possibly affected tissue.It would not be practical to wake up the patient, tell him or her theresult, and then reopen the wound when the second consent has beensigned. But if you feel that all the consequences of the operation havenot been fully explained, do not consent to a further operation, untilyou have discussed the matter with your physician.
Hospitalization,Informed,Conse