Ethical challenges associated with valid and informed consent to treatment and to the creation use and management of patient records, consent forms, and associate health information to support care and treatment.

Informed consent challenges
Ethical challenges associated with valid and informed consent to treatment and to the creation use and management of patient records, consent forms, and associate health information to support care and treatment.
Teaching of Beauchamp-Childress principlism to medical students remains one big advantage as these future physicians will apply informed consent in strengthening the relationships between them and their patients. Informed consent draws its roots from past reports of abuse of vulnerable people in the US. In order to solve this, the US Public Health Service established regulations concerning human rights and establishment of IRBs became a requirement in most institutions as a means of dealing with ethical issues (Zussman, 1997).
In medical ethics, both the actions of patients and the physician are of great concern, and in the last twenty years, medical practice issues including informed consent, have been widely discussed in various forums. Specifically, informed consent helps the physician understand the patient better and patients will be encouraged to keenly adhere to their treatments. However, the benefits of informed consent should not be overstated (Barbara, 2004).
First, in as much as it makes decision-making possible between physicians and patients, informed consent does not allow for autonomous choices in the absence of such choices. Most nursing institutions restrict patients’ choices in order to function as an organized institution. Rules that dictate patients’ behavior and routine have been put in place and this limits autonomy of the patients. Autonomy involves freedom of patients to making choices on moral positions, privacy, among others. The patient should command their own lives and autonomy should not be affected by external constraints. However, nursing institutions are faced with the dilemma of respecting autonomy at the expense of running their institution as an organized institution (Fisher, 2001).


 

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