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The Limits of Informed Consent for an Overwhelmed Patient: Clinicians' Role in Protecting Patients and Preventing Overwhelm

Overview of attention for article published in The AMA Journal of Ethic, September 2016
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Title
The Limits of Informed Consent for an Overwhelmed Patient: Clinicians' Role in Protecting Patients and Preventing Overwhelm
Published in
The AMA Journal of Ethic, September 2016
DOI 10.1001/journalofethics.2016.18.9.peer2-1609
Pubmed ID
Abstract

In this paper, we examine the limits of informed consent with particular focus on ways in which various factors can overwhelm decision-making capacity. We introduce overwhelm as a phenomenon commonly experienced by patients in clinical settings and distinguish between emotional overwhelm and informational overload. We argue that in these situations, a clinician's primary duty is prevention of harm and suggest ways in which clinicians can discharge this obligation. To illustrate our argument, we consider the clinical application of genetic sequencing testing, which involves scientific and technical information that can compromise the understanding and decisional capacity of most patients. Finally, we consider and rebut objections that this could lead to paternalism.

Twitter Demographics

The data shown below were collected from the profiles of 94 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 52 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 52 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 12 23%
Other 9 17%
Student > Bachelor 7 13%
Student > Ph. D. Student 6 12%
Student > Doctoral Student 3 6%
Other 7 13%
Unknown 8 15%
Readers by discipline Count As %
Medicine and Dentistry 15 29%
Nursing and Health Professions 5 10%
Psychology 3 6%
Biochemistry, Genetics and Molecular Biology 3 6%
Agricultural and Biological Sciences 3 6%
Other 12 23%
Unknown 11 21%