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Other Comments:
This is a useful, if rather unpolished, contribution to the literature. Although this paper is classified under "Quality and Patient Safety", it is especially likely to be interest resders looking in the "Medical Ethics" section. The author notes that issues of consent have "become an extremely contentious issue in recent years especially due to the Alder Hey and Bristol scandals." Unfortunately, these events are unlikely to be well known to clinicians outside the UK, so a reference or two in this regard would be helpful. (For instance: English V, Sommerville A. Presumed consent for transplantation: a dead issue after Alder Hey? J Med Ethics. 2003 Jun;29(3):147-52.) A similar situaltion exists with the author's reference to the "Bournewood case." Abbreviations such as GMC,PRHO and QOL should be listed in a table for easy reference. The section "Author's Contributions" should be revised; as it stands the section explains the objectives of the article. The references are incomplete in many cases. Reference 31 referring to the 10 commandments might benefit from a more appropriate reference. Reference 32 contains a spelling error. Finally, I recommend polishing of the paper for content and clarity.
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Competing interests:
No
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Invited by the author to review this article? :
No -
Have you previously published on this or a similar topic?:
Yes
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References:
Doyle DJ. An Introduction to Bioethics and Ethical Theory. Ethics in Biology, Engineering and Medicine. 1:19-41 (2010) -
Experience and credentials in the specific area of science:
Certificate in Bioethics, Cleveland State University.
- How to cite: Doyle D .Review of "The Issues of Incapacity to Give Consent"[Review of the article 'The Issues of Incapacity to Give Consent ' by Siddiqui M].WebmedCentral 2010;1(12):WMCRW00289
The author's aim is to highlightthe reasons for a limb amputation and the issues surrounding the incapacity to consent.
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Yes- It would be a very good lecture for any healthcare professional providing direct patient care.
The author discusses various methods by which an individual's capacity to consent is assessed. The author stresses that autonomy is the most fundamental point of consent and that incapacitated patients have, essentially, a non-existent level of outonomy. The author advises surgeons to be aware of the local laws regarding consent.
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Clinical associate professor