Skip to main content Accessibility help
×
Home
Hostname: page-component-59b7f5684b-vh8gq Total loading time: 1.304 Render date: 2022-09-26T14:19:47.522Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "displayNetworkTab": true, "displayNetworkMapGraph": false, "useSa": true } hasContentIssue true

14 - Informed consent for preoperative testing: pregnancy testing and other tests involving sensitive patient issues

from 1 - Consent and refusal

Published online by Cambridge University Press:  05 March 2012

Gail A. Van Norman
Affiliation:
University of Washington
Stephen Jackson
Affiliation:
Good Samaritan Hospital, San Jose
Stanley H. Rosenbaum
Affiliation:
Yale University School of Medicine
Susan K. Palmer
Affiliation:
Oregon Anesthesiology Group
Get access

Summary

This chapter presents a case study of a healthy 15-year-old girl for elective diagnostic ankle arthroscopy for ankle pain and swelling. Using the study as a reference, it focuses on the ethical issues related to common, routine preoperative tests. The chapter examines two preoperative tests with special social implications: HIV and pregnancy testing. The informed consent process requires respect for informed refusal, and with rare exceptions, patients should not be coerced into undergoing screening pregnancy testing by threatening to cancel the case if they refuse. Good medical practice, both from ethical and medical standpoints, includes applying evidence-based guidelines in determining if a preoperative test should be done. Pregnancy testing and HIV testing are examples of tests with significant social implications, but little proven medical benefit as screening tests. Policies requiring such tests should be reconsidered in light of the ethical principles respecting patient autonomy and striving for beneficence and nonmaleficence.
Type
Chapter
Information
Clinical Ethics in Anesthesiology
A Case-Based Textbook
, pp. 79 - 84
Publisher: Cambridge University Press
Print publication year: 2010

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.)
1
Cited by

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@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
×