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Nurses' Legal Responsibilities I

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Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain

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Informed consent in rheumatology care practice.

José Marques Filho¹

¹Conselho Regional de Medicina do Estado de São Paulo, Centro Universitário São Camilo, SP, Brazil. filho.jm@bol.com.br

Revista Brasileira De Reumatologia

|May 18, 2011

Summary

Informed consent is crucial for research but impractical for all medical procedures. Applying it broadly in rheumatology risks bureaucracy, hindering the physician-patient relationship.

Area of Science:

Medical Ethics
Rheumatology
Informed Consent

Background:

Informed consent principles emerged historically, formalized by the Nuremberg Code (1947).
Patient autonomy is central to informed consent, yet its integration into medical practice has been gradual.
The utility of informed consent in daily medical practice, particularly rheumatology, is currently debated.

Purpose of the Study:

To evaluate the practicality and necessity of mandatory signed informed consent in routine rheumatological care.
To discuss the potential impact of widespread informed consent on the physician-patient relationship and medical practice.

Main Methods:

This study presents an opinion based on ethical principles and clinical experience.
It reviews the historical context and evolution of informed consent in medical research and practice.

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It analyzes the implications of applying informed consent to all medical procedures in rheumatology.

Main Results:

Mandatory signed informed consent for every procedure in rheumatology is deemed unreasonable and impractical.
Informed consent is more appropriate for invasive or high-risk therapeutic interventions.
Widespread adoption could introduce bureaucracy, potentially conflicting with the Hippocratic tradition of a trusting physician-patient relationship.

Conclusions:

The blanket application of signed informed consent in rheumatology is not advisable.
Focusing informed consent on high-risk procedures preserves its ethical value.
Maintaining a trustful physician-patient relationship is paramount and should not be undermined by excessive procedural requirements.