A Review of Imformed Consent in Neurosurgical Practice- any change at Irrua, Nigeria?
Authors:
MORGAN Eghosa
Publication Type: Journal article
Journal: Journal Of Applied And Basic Sciences
ISSN Number:
0
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Abstract
Neurosurgery is one of the highly specialized area in surgery, the treatment instituted may lead to poor outcome with possibility of litigation in the face of an expected good prognosis. The need to allow an encompassing far reaching patient participation in decision making led to the concept of informed consent. Regrettably, the neurosurgical informed consent in our rural environment has been debased, devalued and left at the caprices of family influence, religious and ethnic manipulation that are not geared towards protecting the neurosurgeon in the event of legal liability that may arise from errors as result of negligence or otherwise. Medical trainees and specialists in training are rarely trained and if when trained, the training are done poorly in both communicative and clinical skills that are needed for the process of administering informed consent. IrruaSpecialist Teaching Hospital being located in rural settings is fraught with challenges as majority of patients presenting are poorly uneducated, caught in a web of strong ethnoreligious belief that affect consent to neurosurgical services and procedures. We have discussed briefly, the phenomenon of informed consent, the difficulties to patient autonomy and consent in neurosurgery, the pros and cons of obtaining neurosurgical consent, and the planning of an optimal process for neurosurgical informed consent.