Circumcision consent form: Difference between revisions
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<BIG><b>Parents are advised that there are NO medical indications for circumcision of newborn boys. No disease is present. Circumcision of the newborn does not treat or prevent disease and subjects him to [[pain]] and [[trauma]].</b></BIG> | |||
Neonatal '''circumcision consent form''' is a paper parents must sign when opting to have their male baby [[circumcised]]. | |||
" | According to Temple Health: "[[Informed consent]] is an ethical concept—that all patients should understand and agree to the potential consequences of their care—that has become codified in the law and in daily practice at every medical institution. One of the earliest legal precedents in this area was established in 1914 when a physician removed a tumor from the abdomen of a patient who had consented to only a diagnostic procedure ([https://scholar.google.com/scholar?cluster=17182600591789871337&hl=en&as_sdt=8000005&sciodt=8000006 Schloendorff vs. Society of New York Hospitals]). The judge in this case ruled that the physician was liable for battery because he violated an “individual’s fundamental right to decide what is being done with his or her body.” [Edwards 1998, Wescott 2005] The first case actually defining the elements of [[informed consent]] occurred in the late 1950s and involved a question of potential negligence and whether a patient was given sufficient information to make a decision." | ||
"[AMA 1998] For example, federal regulations spell out the minimum requirements for a properly executed informed consent form (Table 2) and state that this form must be in the patient’s chart before surgery. [CFR Title 42] These regulations also stipulate that the information must be given in a language or means of communication that the patient understands. " | "Although the details of these laws vary from state to state, the bottom line is that failure to obtain [[informed consent]] renders any U.S. physician liable for negligence or battery and constitutes medical malpractice. [Pizzi 2001] Exceptions are made for emergencies or legally adjudicated mental incompetency or physical incapacity." | ||
"[AMA 1998] For example, federal regulations spell out the minimum requirements for a properly executed [[informed consent]] form (Table 2) and state that this form must be in the patient’s chart before surgery. [CFR Title 42] These regulations also stipulate that the information must be given in a language or means of communication that the patient understands. " | |||
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[Table 1] The Basic Features of Everyday Informed Consent | [Table 1] The Basic Features of Everyday [[Informed consent|Informed Consent]] | ||
The physician (not a delegated representative) should disclose and discuss: | The physician (not a delegated representative) should disclose and discuss: | ||
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[Table 2] What’s Needed on the Informed Consent Form | [Table 2] What’s Needed on the [[informed consent|Informed Consent]] Form | ||
* Name and signature of the patient, or if appropriate, legal representative | * Name and signature of the patient, or if appropriate, legal representative | ||
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Source: Federal Code (Title 42 C.F.R. § 482.51 (b) (2)) Interpretive Guideline A-0392<ref>{{REFweb | Source: Federal Code (Title 42 C.F.R. § 482.51 (b) (2)) Interpretive Guideline A-0392<ref>{{REFweb | ||
| last= | |last= | ||
| first= | |first= | ||
| date= | |date= | ||
| title=A Practical Guide to Informed Consent | |title=A Practical Guide to Informed Consent | ||
| url=http://www.templehealth.org/ICTOOLKIT/html/ictoolkitpage5.html | |url=http://www.templehealth.org/ICTOOLKIT/html/ictoolkitpage5.html | ||
| publisher= | |publisher= | ||
| accessdate=2015-06-30 | |accessdate=2015-06-30 | ||
}}</ref> | }}</ref> | ||
NOCIRC has written an exhaustive list of complications as an example of what is missing for the consent forms that parents sign in the United States.<ref>{{REFweb | NOCIRC has written an exhaustive list of complications as an example of what is missing for the consent forms that parents sign in the United States.<ref>{{REFweb | ||
| last= | |last= | ||
| first= | |first= | ||
| date= | |date= | ||
| title=Model Circumcision Informed Consent Form | |title=Model Circumcision Informed Consent Form | ||
| url=http://www.nocirc.org/consent/form.php | |url=http://www.nocirc.org/consent/form.php | ||
| publisher=NOCIRC | |publisher=NOCIRC | ||
| accessdate=2015-06-30 | |accessdate=2015-06-30 | ||
}}</ref> | }}</ref> | ||
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== Sample consent forms == | == Sample consent forms == | ||
=== University of Virginia Health System === | === {{UNI|University of Virginia|UVA}} Health System === | ||
http://www.virginia.edu/uvaprint/HSC/pdf/040162.pdf | http://www.virginia.edu/uvaprint/HSC/pdf/040162.pdf | ||
* Diagnosis: Uncircumcised Newborn Male | * Diagnosis: [[Uncircumcised]] Newborn Male | ||
* Nature and purpose of the procedure: Not stated, relies on oral information | * Nature and purpose of the procedure: Not stated, relies on oral information | ||
* Additional procedures: If needed, additional procedures may be performed (i.e. if complications occur) | * Additional procedures: If needed, additional procedures may be performed (i.e. if complications occur) | ||
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* Consultants, photographs, video: Consultants may be present, photographs and video may be taken for educational purposes | * Consultants, photographs, video: Consultants may be present, photographs and video may be taken for educational purposes | ||
* Tissues removed: may be used for "any lawful purpose including education and research" | * Tissues removed: may be used for "any lawful purpose including education and research" | ||
* Risks: risks of surgery (bleeding, infection, damage to tissue, blood vessels, nerves, organs, which may result in paralysis, cardiac arrest, brain damage, death) and specific to circumcision (bleeding, infection, deformity or need for additional surgery) | * Risks: risks of surgery ([[bleeding]], infection, damage to tissue, blood vessels, nerves, organs, which may result in paralysis, cardiac arrest, brain damage, death) and specific to circumcision ([[bleeding]], infection, deformity or need for additional surgery) | ||
* Benefits: not listed | * Benefits: not listed | ||
* Alternatives: not circumcise | * Alternatives: not circumcise | ||
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* Risks and benefits of not undergoing the procedure | * Risks and benefits of not undergoing the procedure | ||
This consent form at list is somewhat honest in the list of risks. The consent form authorizes the hospital to keep and (indirectly) to sell the tissue for profit. The consent form suggests "risk of" not circumcising. The diagnosis suggests that there is something wrong with being born an "uncircumcised newborn male".<ref>{{REFweb | This consent form at list is somewhat honest in the list of risks. The consent form authorizes the hospital to keep and (indirectly) to sell the tissue for profit. The consent form suggests "risk of" not circumcising. The diagnosis suggests that there is something wrong with being born an "[[uncircumcised]] newborn male".<ref>{{REFweb | ||
| last= | |last= | ||
| first= | |first= | ||
| date= | |date= | ||
| title=University of Virginia Health System - CONSENT FOR CIRCUMCISION OF PENIS AND ADMINISTRATION OF ANESTHESIA OR SEDATION | |title=University of Virginia Health System - CONSENT FOR CIRCUMCISION OF PENIS AND ADMINISTRATION OF ANESTHESIA OR SEDATION | ||
| url=http://www.virginia.edu/uvaprint/HSC/pdf/040162.pdf | |url=http://www.virginia.edu/uvaprint/HSC/pdf/040162.pdf | ||
| publisher= | |publisher= | ||
| accessdate=2015-06-30 | |accessdate=2015-06-30 | ||
}}</ref> | }}</ref> | ||
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cases | cases | ||
== Warning to parents == | |||
Maternity hospitals commonly include a circumcision consent form in the papers that must be signed on admission to hospital in preparation for birth. At this time the mother is usually in early labor. Parents who DO NOT DESIRE a [[circumcision]] must be careful to NOT sign the circumcision consent form. If the form is signed, then any male infant born will be [[circumcised]]. | |||
{{SEEALSO}} | |||
* [[Informed consent]] | |||
* [[Pain]] | |||
* [[Trauma]] | |||
{{REF}} | {{REF}} | ||
[[Category: | [[Category:Parental information]] | ||
[[Category:Financial | [[Category:Product]] | ||
[[Category:Financial gain]] | |||
[[Category:Law]] | |||
[[Category:From IntactWiki]] | [[Category:From IntactWiki]] | ||