diplomsko delo
Kaja Takač (Author), Tomaž Keresteš (Mentor)

Abstract

V diplomskem delu je predstavljena avtonomija pacienta pri odločanju o zdravljenju, tako v času popolne sposobnosti odločanja o sebi, kot tudi za primere, ko tega ne bo zmožen. Pacient naj ne bi imel samo pasivne vloge pri zdravljenju, temveč tudi aktivno. Dana mu je pravica do privolitve ali zavrnitve določenega medicinskega posega, kot tudi preklic privolitve ali zavrnitve. Glavno vodilo vsakršne zdravstvene oskrbe je pacientova volja. V tej fazi odigra pomembno vlogo pojasnilna dolžnost, ki je temelj pacientove avtonomije in mora biti razumljiva in tako obsežna, da bo pacient razumel, kaj lahko pričakuje od posega. V kolikor zdravnik ne opravi pojasnilne dolžnosti, ali jo opravi pomanjkljivo, lahko pride do odškodninske ali celo kazenske odgovornosti. Izjemoma lahko zdravnik pojasnilo opusti, kadar bi bolnikov vpogled v medicinsko dokumentacijo škodljivo vplival na njegovo zdravstveno stanje. Kadar pacient ni v stanju, ko bi lahko dal svoj pristanek v določeno zdravstveno oskrbo, poseg pa je nujen zaradi neposredne nevarnosti za življenje, govorimo o nujni medicinski pomoči. Le takrat je zdravnik upravičen napraviti poseg brez bolnikove privolitve. Vsak polnoletni pacient, ki je sposoben odločati o sebi, ima možnost izraziti voljo o tem, kakšna naj bo njegova zdravstevna oskrba v primeru, da ne bo več sposoben odločanja o sebi. Tako ima pravico do postavitve svojega zdravstvenega pooblaščenca, pravico do izključitve oz. omejitve oseb, ki so upravičene do odločanja o njegovi zdravstveni oskrbi ter pravico do vnaprej izražene volje glede njegove bodoče zdravstvene oskrbe. Zdravnik mora v določenem primeru upoštevati pacientovo vnaprejšnjo voljo, lahko pa mu je le kot smernica pri zdravljenju. Za konec je primerjalno predstavljena tudi angleška in nemška pravna ureditev instituta vnaprej izražene volje.

Keywords

pojasnilna dolžnost;terapevtski privilegiji;nujna medicinska pomoč;pacientov pooblaščenec;diplomska dela;

Data

Language: Slovenian
Year of publishing:
Source: Maribor
Typology: 2.11 - Undergraduate Thesis
Organization: UM PF - Faculty of Law
Publisher: [K. Takač]
UDC: 34(043.2)
COBISS: 4133419 Link will open in a new window
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Downloads: 965
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Other data

Secondary language: English
Secondary title: INFORMED CONSENT, DECIDING ABOUT MEDICAL TREATMENT AND ADVANCE DECISION IN PROCESS OF PATIENT´S HEALTH CARE
Secondary abstract: The main topic of this diploma thesis is patient autonomy, the right of patients to make decisions about their medical care without their health care provider trying to influence the decision in cases when patients possess full capacity to make decisions about themselves, as in cases when they lack the appropriate decision-making capacity. A patient should not be just passively involved in the medical care administered to him or her, but should be also actively included in it as well. A patient has the right to give consent to or to issue a refusal of medical care, as well as the right to revoke his or her consent or refusal respectively. The main guideline for any kind of medical care is the will of the patient. At this stage, the physician’s duty to inform plays an important role and constitutes the foundation of the legal and ethical concept of “patient autonomy”. The physician is obligated to provide the patient with such a comprehensive and clear explanation that the patient will fully understand what he or she is to expect from a medical procedure or from a particular kind of medical care respectively. Should the physician fulfil his or her duty to inform inappropriately or even neglect it completely, he or she could be liable for monetary damages or even face criminal charges. Yet, in exceptional situations, where the disclosure of the details on the state of their medical condition would present an additional health risk to the patient, the physician may invoke his “therapeutic privilege”. The physician’s therapeutic privilege is a legal privilege to withhold specific information or a specific diagnosis from a seriously or fatally ill patient on therapeutic grounds. When a patient lacks capacity to give consent to the carrying out or continuation of a treatment and that particular treatment is urgent because the patient is in a life-threatening condition, we speak about acute medical care. A physician is authorised to perform a medical procedure without the patient’s consent exclusively in cases demanding acute medical care. Additionally, every adult patient, possessing full capacity to make reasonable decisions for and about him or herself, has the right to express his or her will about how he or she would want to be cared for medically, should he or she lose the capacity to make reasonable decisions on his or her own behalf. Thus, he or she has the right to legally appoint an agent by health care proxy to make health care decisions on behalf of the patient in the event that the patient is incapable of making reasonable decisions about him or herself. Furthermore, every adult patient also has the right to exclude agents or limit the number of agents designated to make health care decisions on behalf of the patient, as well as the right to an advance decision, through which the patient can indicate his or her wish to refuse all or some forms of medical care if he or she loses mental capacity in the future. The physician has to abide to the patient’s advance decision if the circumstances arise as specified in the advance decision, but the physician may also choose to regard the advance decision only as a guideline on how to treat the patient. The conclusion of this diploma thesis features a comparative outlook on the legal situation of the legal concept of “advance decision” within the English and the German legal system.
Secondary keywords: Patient autonomy;informed consent;therapeutic privilege;consent to medical care;refusal of medical care;acute medical care;agent to make health care decisions;health care proxy;advance decision.;
URN: URN:SI:UM:
Type (COBISS): Undergraduate thesis
Thesis comment: Univ. v Mariboru, Pravna fakulteta
Pages: 91 f.
Keywords (UDC): social sciences;družbene vede;law;jurisprudence;pravo;pravoznanstvo;
ID: 8761789