Which is NOT an element of disclosure?
Treatment options (recommendations and alternatives).
The benefits and risks of treatment; risks of not treating.
The purpose and nature of authorization as an act of consent.
The name(s) of person(s) responsible for the treatment or procedure.
All possible risks and complications.
A female patient, who is a single working parent, consents to repeat surgery on a
hiatus hernia. The physician does not mention that it may be necessary to open
the patient's chest during surgery. (He won't know if this is necessary until she
is on the operating table.) It turns out that there is no need to open her chest,
and the operation and recovery are uneventful. In view of the general trend
toward patient's rights and the reasonable person standard of disclosure, what
would the patient's likely reaction be to such an omission of information, had it
been necessary to open her chest?
a. She would be glad not to know. Even if she consented to having her chest
opened, informing her would have caused unnecessary worry, a kind of
b. If it turned out that opening the chest wasn't necessary, the doctor would have
saved her needless worry by not telling her about that possibility in the
c. Even if the chest had to be opened, the patient would be so grateful for the
relief from hernia pain, that she would not resent having not been told.
d. Horrified by the size and pain of the incision and unprepared for a long
absence from work, she might sue the surgeon and hospital for failing to
disclose relevant information.
The professional practice standard of disclosure requires that the physician tell
a. All possible risks and benefits, likely and remote.
b. What an objective reasonable person in the same or similar circumstances
would need to know.
c. What any reasonable medical practitioner would disclose in the same or
d. What the particular patient in question needs to know.
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