Patient Autonomy Legal and Ethical Issues in the Post-Anaesthetic Care Unit

  title={Patient Autonomy Legal and Ethical Issues in the Post-Anaesthetic Care Unit},
  author={Sally Humphreys},
  journal={Journal of Perioperative Practice},
  pages={35 - 43}
  • S. Humphreys
  • Published 1 January 2005
  • Medicine, Political Science
  • Journal of Perioperative Practice
The need for patient autonomy, empowerment and choice has become central to health reforms. Confronted with the prospects of such perpetual changes, respect for patient autonomy has to be tempered with paternalistic beneficence. This article discusses the difficulties encountered when applying patient autonomy within the post-anaesthetic care unit (PACU), evaluating ethical, legal and professional issues. 

Concept analysis: patient autonomy in a caring context.

A tentative model has been constructed of the concept of patient autonomy in a caring context and arises due to an impairment of a person's physical and/or mental state, thus extending the understanding of this ethical concept in a care context.

Nurses' Perceptions of Patient Participation in the Postanesthesia Care Unit-A Qualitative Focus Group Study.

Foucault at the bedside: a critical analysis of empowering a healthy lifestyle.

It is argued how philosophical investigation in medical-ethical evolutions such as empowerment of the patient is still needed to understand what is really going on in today's clinical practice.

Patients' experiences of undergoing surgery : From vulnerability towards recovery -including a new, altered life

The overall aim of this thesis was to explore patients’ experiences of undergoing surgery, including their perceptions of quality of care and recovery. A mixed methods design was used, and studies ...

Patients' Perceptions of Quality of Care During the Perioperative Procedure.

People's experiences of suffering a lower limb fracture and undergoing surgery.

Participants found themselves in a new and unexpected situation and experienced pain, vulnerability and a striving for control during the process, that is, 'from realising the seriousness of the injury to regaining autonomy'.

Omvårdnad av höftopererade äldre patienter som drabbas av akut förvirringstillstånd på en postoperativ avdelning

Forvirringstillstand hos aldre patienter efter genomgangen hoftkirurgi ar en vanligt forekommande postoperativ komplikation en beskrivs forvirring stillstandet.



Caring, patient autonomy and the stigma of paternalism.

This paper argues that beneficence derived through caring should not be superseded uncritically and suggests that mutual nurse-patient relationship, which balances respect for patient autonomy and beneficent guidance based on practitioner's clinical expertise, protects the moral integrity of both patient and practitioner.

Principles of biomedical ethics

The principles of biomedical and Islamic medical ethics and an interfaith perspective on end-of-life issues and three cases to exemplify some of the conflicts in ethical decision-making are discussed.

Autonomy and clinical practice. 3: Issues of patient consent.

The authors focus on the notion of consent, which appears that the issue of informed consent is very much tied up with the perceived power struggle between doctors and nurses and doctors and their patients.

Law and Ethics in Nursing and Health Care

"List Of Statutes List Of Cases Preface 1. Law And Ethics 2. Structure And Organization Of the National Health Service 3. Caring In Scarcity - Justice And Access To Health resources 4. Professional

Morally autonomous practice?

  • P. A. Scott
  • Medicine
    ANS. Advances in nursing science
  • 1998
It is the responsibility of practitioners to recognize the moral dimension of their practice, and the moral implications of their actions, as they attempt to meet the health care needs of their patients and develop practice professionally.

Models of the doctor-patient relationship and the ethics committee: Part One.

  • D. Thomasma
  • Medicine
    Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees
  • 1992
Models of the doctor-patient relationship determine which value will predominate in the interaction of the parties, and a physician who underlines patient decision making will tend to place autonomy first above all other principles, casting that relationship in a libertarian tone.

Ethics in Nursing Practice

Focuses on the ethical dilemmas faced by nurses, examining the principles which guide nursing practice at all levels.

Nursing law and ethics

The legal Dimension: legal System and Method The Ethical Dimension: Nursing Practice, Nursing Philosophy and Nursing Ethics The Professional Dimension: Professional Regulation in Nursing, Midwifery

Philosophical medical ethics

An Introduction to Philosophical Medical Ethics: The Arthur Case concludes with a discussion of the Arthur Case and some of the themes explored.

Autonomy, privacy and informed consent 4: surgical perspective.

There are significant differences in patient and staff perceptions on issues of patient autonomy, privacy and informed consent, however, the most marked difference in perceptions of patients and staff were found on the information-giving element of the autonomy subscale.