Surgical treatment of brain tumors without informed consent - medical, organizational and legal aspect
Description
Siedlecki Zygmunt, Gutkowska Agnieszka, Śniegocki Maciej. Surgical treatment of brain tumors without informed consent - medical, organizational and legal aspect. Journal of Education, Health and Sport. 2020;10(10):72-81. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2020.10.10.007
https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2020.10.10.007
https://zenodo.org/record/4104511
The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.
© The Authors 2020;
This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland
Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike.
(http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.
The authors declare that there is no conflict of interests regarding the publication of this paper.
Received: 21.09.2020. Revised: 29.09.2020. Accepted: 18.10.2020.
Surgical treatment of brain tumors without informed consent - medical, organizational and legal aspect
Zygmunt Siedlecki1, Agnieszka Gutkowska2, Maciej Śniegocki1
1Department of Neurosurgery, Neurotraumatology and Pediatric Neurosurgery, The Ludwik Rydygier Collegium Medicum in Bydgoszcz, The Nicolaus Copernicus University in Toruń
2Department of Forensics, Institute of Criminal Law, Faculty of Law and Administration, University of Warsaw
Corresponding address:
Dr. med. Zygmunt Siedlecki Department of Neurosurgery, Neurotraumatology and Pediatric Neurosurgery,
the Ludwik Rydygier Collegium Medicum in Bydgoszcz,
ul. Skłodowskiej-Curie 9
85-094 Bydgoszcz
tel.: + 48 606 302680
e-mail: siedlecki@cm.umk.pl
Abstract
Brain tumors are often manifested by mental disorders. Changes in personality, behavior and logical functions are often the dominant pathological symptoms in patients with brain tumors. There are also cases where brain tumors occur in patients with psychotic disorders or mental retardation and in these particular cases, they aggravate the already advanced mental disability. As a result, patients with brain tumors are often intellectually disabled and it is not possible to perform informed consent to treatment. In clinical practice, those patients who require neurosurgical treatment must give their informed consent, and when it is not possible, the judicial consent must be adjudicated. In urgent cases, medical decision on surgery is necessary in algorithm of life saving surgery, due to size of tumor and brain edema. We present the current state of knowledge and the facts about neurosurgical prcedures performed in patients with brain tumors without obtaining informed consent. We analyze the medical, legal and organizational status, pay attention to the nuances and the need for outstanding clinical experience in such a delicate matter. Clinical experience and legal awareness is essential for a qualifying neurosurgeon.
Key words: brain tumors, mental disorders, judicial consent
Files
31692.pdf
Files
(228.9 kB)
Name | Size | Download all |
---|---|---|
md5:963f14b8239fd97dc8f54733107c2761
|
228.9 kB | Preview Download |