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During this session we worked through 5 challenging ED cases in an attempt to examine the ethical and professional considerations that go into deciding who has decisional capacity and how that capacity can be used. Who determines capacity? How? Is there a limit on autonomy, or does the patient always have the final say? How does patient intoxication impact physician management decisions? Can children keep information from their parents?
Small groups were led by ED faculty and by guest faculty from the Division of Medical Ethics.
Conference Materials
- Scroll down for the presentation slideset.
- All five cases and questions can be found at this link (password protected).
- Download the Capacity and Informed Consent pocket card here (password protected).
- Additional readings are linked at right.
*Case descriptions are composites and details have been changed to protect patient and provider privacy.
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Supplemental Readings:
Proxies and Surrogacy
Pediatric Privacy and Autonomy
Barriers to Exchange of Pediatric Health Info (Autonomy)
Teenagers, Healthcare and the Law (NYCLU)
Summary on NY Statutory Rape, 2008
Case Law Examples
Kowalski vs St. Francis Hospital (Elopement liability)
Davis vs. South Nassau Hospitals (3rd party liability)
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