Giving informed consent

Sometimes hearing from a doctor that you need to have a specific procedure performed can be overwhelming. When faced with these words it might be hard to determine what you need to ask and know.  In fact some folks may not realize they have a right to refuse treatment.

On my Pain Management and Migraine boards, I often read posts from folks asking questions that should be answered by their doctors.  More times than not, they are afraid to ask or have asked and have yet to receive answers. What should someone do in this situation?

First of all, no one should sign a consent if they do not understand what they are consenting to. Doctors are required to explain what they intend to do as well as share what the potential complications might be to either having or not having a procedure perfomed.

Everyone faced with making an informed decision should have answers to the following questions before doing so:

• What is the procedure to be performed?
• How is it going to be done?
• Where? How long will it take?
• Will I need to involve anyone else?  Have a driver after the procedure?  Home care?
• What preparations will I need to make before the procedure?
• What can I expect after the procedure?  Sedation, possible swelling, pain? How long should I anticipate for a recovery period? 
• How will we handle the post op recovery period?
• How will my pain or discomfort be managed?
• What limitations will I have?  For how long? 
• What is the anticipated benefit from having the procedure?
• What if I decide not to have it performed?
• What potential complications exist with this procedure?

Consider finding answers to your questions in a variety of ways.

• In doctors offices, look for any available literature and pamphlets that may be available.
• Perform web searches using key words and phrases.
• Talk to others who have an understanding of the procedure to be performed.

It is important to understand your rights.  Take time to explore what you don't understand. Get answers to all of your questions.  Keep asking until you get clear understandable answers. Weigh the Pros and Cons of having or not having a procedure. Know that you have made an informed decision.  Know you have given informed consent.