Wetin na Infɔm Kɔnsɛnt? Lɛ wi tɔk bɔt am simpul wan!

We yu go na ɔspitul, bifo dɔktɔ bigin fɔ gi yu sɔm mɛrɛsin, ɔ du sɔntin lɛk ɔpreshɔn , i kin ɛksplen am to yu ditayli ɛn aks yu se, ‘Yu fayn wit dis?’ Na dat wi de kɔl ‘Informed Consent’ na mɛrɛsin. Dis nɔto jɔs tin we pɔsin kin tɔk, i rili impɔtant. Lɛ wi si wetin mek dat de ɛn us protɛkshɔn i de gi yu.

Wetin na Infɔm Kɔnsɛnt?

Fɔ tɔk am simpul wan, fɔ gri fɔ du sɔntin we yu no bɔt na fɔmal tɔk bitwin yu ɛn yu dɔktɔ ɔ wɛlbɔdi biznɛs bɔt di tritmɛnt ɔ tɛst we yu go gɛt. Dis na tin we di lɔ ɛn di we aw pipul dɛn de biev we dɛn de mɛn pipul dɛn se. I min fɔ ɛksplen to yu klia wan wetin dɛn go trit yu, wetin go bɛnifit yu, wetin go apin to yu, wetin go apin if yu nɔ du am, ɛn if ɔda tritmɛnt dɛn de .

Dɔn yu kin aks ɛni kwɛstyɔn we yu gɛt bɔt am, fɛn ɔda tin dɛn, ɛn fɔ dɔn, jɔs se ‘yes’ to am if yu satisfay wit ɔltin ɛn yu want am. If yu se ‘yes’, na dat dɛn kɔl kɔnsɛnt.

Imajin se yu gɛt fɔ du smɔl ɔpreshɔn. Di dɔktɔ tɛl yu se, ‘If dɛn du yu dis ɔpreshɔn, yu sik go bɛtɛ pasmak, bɔt yu kin gɛt sɔm pen, yu kin gɛt fɔ de na ɔspitul fɔ sɔm dez, ɛn yu kin gɛt smɔl skata.’ Yu kin aks se, ‘Ɛni ɔda we dɛn de fɔ mek a nɔ gɛt dis?’, ‘Dɛn go gi mi anestesia fɔ dis ?’, ‘Aw lɔng i go tek fɔ mek a ebul fɔ wok nɔmal wan afta dis?’ Tin dɛn lɛk dat. Afta yu dɔn tɔk bɔt ɔl dɛn tin ya, yu go ɔndastand am gud gud wan ɛn gladi fɔ am.

Wetin mek dis kɔnsɛntmɛnt we dɛn no bɔt impɔtant so?

If yu gri fɔ du dat , dat kin protɛkt yu ɛn di dɔktɔ we de trit yu. I de mek shɔ bak se yu gɛt ɔl di infɔmeshɔn we yu nid bifo yu bigin tritmɛnt. Dis kin mek yu ebul fɔ fes tritmɛnt wit mɔ kɔnfidɛns , ɛn i kin mek bak yu nɔ gɛt prɔblɛm ɛn wɔri we nɔ impɔtant leta. Imajin, dɛn bin gi yu sɔm mɛrɛsin, ɛn i bin mek yu gɛt wan sayd ɛfɛkt, bɔt dɛn nɔ bin tɛl yu bɔt am bifo tɛm. Aw yu go fil bad ɛn yu go vɛks? Dis kin ɛp fɔ mek tin dɛn lɛk dat nɔ apin.

Wan ɔda tin na dat, dis kin gi yu di chans fɔ tek pat tranga wan pan yu wɛlbɔdi biznɛs. Dis na big ɛp fɔ yu fɔ disayd fɔ du di bɛst tin fɔ yusɛf. Bifo yu jɔs se, ‘A go du ɛnitin we di dɔktɔ se,’ i bɛtɛ fɔ no se, ‘Wetin de apin, wetin mek dɛn de du dis, wetin na di gud ɛn bad tin dɛn we dis de du?’ Dat na yu rayt.

Us kayn mɛrɛsin we dɛn nid fɔ du dis kɔnsɛntmɛnt we dɛn no bɔt?

Jɛnɛral wan, if ɛni risk de we yu de du tɛst ɔ tritmɛnt, yu go nid fɔ gi yu kɔnsɛntmɛnt we yu no bɔt ɔltɛm. Dis nɔto jɔs di prɔblɛm dɛn we kin apin to yu bɔdi, bɔt i kin min bak di prɔblɛm dɛn we kin apin to yu prayvet pat. Yu dɔktɔ go ɛksplen ɔl dis to yu, so dat yu go disayd if yu gri wit am ɔ yu nɔ gri wit am.

Bɔku tɛm, dɛn kin nid fɔ gri fɔ du sɔntin we dɛn no bɔt fɔ tin dɛn lɛk:

• We yu de gi yu anestezi: Dis min se yu fɔ slip bifo dɛn du yu ɔpreshɔn, ɔ yu fɔ mek wan patikyula say nɔ gɛt maynd.
• We yu de du bayɔpsi : Dis min se yu fɔ tek smɔl pat pan di bɔdi ɛn chɛk am.
• Blɔd transfyushɔn: Dis min we dɛn gi blɔd frɔm ɔdasay.
• We dɛn de trit kansa : Fɔ ɛgzampul, we dɛn gi dɛn kemotɛrapi ɔ raytin .
• di tεm we dεn de du sכm intavεnshכn dεm we dεn de bכn pikin: fכ egzampl, we dεn de yuz fכsεps dεlivεri כ we dεn de du episiotomy (sכmכl kכt na di vagina ).
• We yu de tek pat pan klinik trial: Dis min se yu de du risach pan nyu mɛrɛsin ɔ tritmɛnt.
• We dɛn de du jenɛtik tɛst.
• We dɛn put mɛrɛsin divays dɛn na di bɔdi (mɛdikal implant): fɔ ɛgzampul, pesmɛka, ɔ mɛtal plet dɛn na bon graft.
• We dɛn de du ɛni kayn ɔpreshɔn, ilɛksɛf na smɔl ɔ big.
• We dɛn trit am wit mɛrɛsin dɛn we gɛt ay risk: Fɔ ɛgzampul, we dɛn de gi strɔng pen kil lɛk opioid.
• Tεst dεm we dεn kin du bay we dεn de put instrכmεnt insay di bכdi: fכ egzampl, we dεn de du εndoskopi.

Apat frɔm dat, yu fɔ gɛt kɔnsɛntmɛnt we dɛn no bɔt ɛnitɛm we dɛn transfa yu pasɔnal mɛdikal rɛkɔd to ɔda pɔsin ɔ say.

Aw a go gi mi kɔnsɛntmɛnt we dɛn no bɔt?

If yu gi yu kɔnsɛntmɛnt we yu no bɔt, dat min se yu de tɛl yu dɔktɔ ɔ pɔsin we de kia fɔ yu wɛlbɔdi biznɛs se, "Okay, a rɛdi fɔ du dis." I min se yu ɔndastand wetin dɛn dɔn ɛksplen ɛn yu rɛdi fɔ disayd.

Sɔntɛnde, yu kin gɛt wan dɔkyumɛnt fɔ sayn.Yu kin. Bɔku tɛm, i kin se yu ɔndastand di prɔblɛm dɛn we kin apin, di bɛnifit dɛn we pɔsin kin gɛt, ɛn ɔda tin dɛn we yu kin du. Bɔt if yu sayn da pepa de, dat nɔ min se yu fɔ kɔntinyu fɔ du am. Yu kin chenj yu maynd ɛnitɛm – afta yu dɔn gi yu kɔnsɛnt, bifo tritmɛnt bigin, ɔ ivin we yu de du tritmɛnt (yu fɔ tɔk bɔt di prɛktikal tin dɛm fɔ dis wit yu dɔktɔ).

Mɛmba se fɔ sayn nɔto jɔs fɔmal tin. I min se yu dɔn disayd fɔ du sɔntin wit ɔl yu at. So, if sɔntin nɔ klia ɔ nɔ klia, nɔ fred fɔ aks am bak ɛn bak.

Udat mek dɛn lɔ ya bɔt fɔ gri fɔ du sɔntin we dɛn no bɔt?

Insay difrɛn kɔntri dɛn na di wɔl, difrɛn institiushɔn dɛn de we de mek lɔ ɛn gaydlayn dɛn bɔt dis kɔnsɛntmɛnt we dɛn no bɔt. Fɔ ɛgzampul, na Amɛrika, gɔvmɛnt ɔganayzeshɔn dɛn ɛn mɛdikal ɔganayzeshɔn dɛn kin pripia lɔ dɛn we gɛt fɔ du wit dis. Apat frɔm dat, institiushɔn dɛn lɛk ministri fɔ wɛlbɔdi biznɛs ɛn mɛdikal kaɔnsil dɛn na ɛni kɔntri sɛf de wɔri bɔt dis.

Insay Sri Lanka, wan kɔd de fɔ ɛtiks we dɔktɔ dɛn fɔ fala tru institiushɔn dɛn lɛk di Sri Lanka Mɛdikal Kɔnsil (SLMC) . I tɔk klia wan bak se i impɔtant fɔ gɛt kɔnsɛntmɛnt we dɛn no bɔt. Di men tin na fɔ protɛkt di pɔsin in rayt ɛn gi di pɔsin di chans fɔ disayd fɔ du sɔntin we i no. So, dis na wan men prinsipul fɔ mɛn pipul dɛn we dɛn kin gri wit ɛnisay na di wɔl.

Spɛshal kes dɛn de we dɛn nɔ go ebul fɔ gi/nɔ nid fɔ gɛt kɔnsɛnt we dɛn no fɔ tritmɛnt?

Yɛs, sɔm imejensi dɛn de usay dɔktɔ dɛn fɔ trit yu we dɛn nɔ go go tru di prɔses fɔ gɛt ful-infɔm kɔnsɛnt. Na sɔm pan dɛn tin dɛn de:

• If yu nid tritmɛnt kwik kwik wan, bɔt yu nɔ ebul fɔ tɔk ɔ ɔndastand: Imajin se yu dɔn gɛt aksidɛnt ɛn dɛn kɛr yu go na ɔspitul we yu nɔ no natin. Di dɔktɔ dɛn go bigin di tritmɛnt we nid fɔ sev yu layf we dɛn nɔ aks yu. Bikɔs di tin we impɔtant pas ɔl da tɛm de na fɔ sev yu layf. Bɔt if i pɔsibul, dɛn go tɔk to yu famili, ɔ tɛl yu di ditil dɛn afta yu dɔn no bak.
• If yu sik tumɔs fɔ disayd: Fɔ ɛgzampul, if yu de na kɔma ɔ yu sik bad bad wan, dɔktɔ dɛn go chɛk fɔ si if yu gɛt advans dairekt, we na dɔkyumɛnt we de sho udat fɔ disayd fɔ yu if yu lɔs kɔnshɛns ɛn us tritmɛnt yu want ɔ yu nɔ want. Ɔ, dɛn go chɛk fɔ si if pɔsin de we go ebul fɔ disayd fɔ yu bay lɔ (lɛk yu fambul we de nia yu).
• If yu na pikin we nɔ rich 18 ia yet:Bɔku tɛm, yu mama ɛn papa, pɔsin we de kia fɔ yu bay lɔ, ɔ ɔda pɔsin we tan lɛk dis kin disayd fɔ yu wɛlbɔdi biznɛs. Bɔt na sɔm kɔntri dɛn, di lɔ de alaw yɔŋ pipul dɛn we dɔn pas sɔm ej fɔ disayd fɔ dɛnsɛf pan wɛlbɔdi biznɛs pan sɔm tin dɛn (e.g., sɛkshɔnal wɛlbɔdi biznɛs). Insay Sri Lanka, mama ɛn papa ɔ di wan dɛn we de kia fɔ dɛn kin gi kɔnsɛnt to di wan dɛn we nɔ rich 18 ia yet.

Dɔn bak, sɔntɛnde if pɔsin we sik tɔk klia wan se dɛn nɔ want di we aw dɛn fɔ gri fɔ mek dɛn gri fɔ du sɔntin we dɛn no , di dɔktɔ kin go bifo fɔ du dat. Bɔt dat nɔ kin apin so ɔltɛm.

Fɔ dɔn, na sɔm tin dɛn we wi fɔ mɛmba

Okay, so naw yu dɔn ɔndastand gud gud wan bɔt wetin wi bin de tɔk bɔt, we dɛn kɔl ``Informed Consent.`` Mɛmba se, i impɔtant fɔ mek dɔktɔ dɛn gɛt yu permishɔn bifo dɛn gi yu ɛni tɛst ɔ tritmɛnt. Dis prɔses fɔ gri fɔ du sɔntin we yu no bɔt de fɔ ɛp yu fɔ ɔndastand wetin yu gri wit ɛn wetin mek i impɔtant.

Sɔntɛnde, yu kin fil fɔ fred ɛn kɔnfyus fɔ gi kɔnsɛnt bikɔs yu nɔ ɔndastand di mɛrɛsin we yu dɔktɔ de yuz. Ɛspɛshali if yu de gɛt tritmɛnt kwik kwik wan, yu kin fil se yu nɔ ebul fɔ du natin ɛn i nɔ kin izi fɔ yu fɔ tink gud wan. Bɔt yu nɔto pɔsin we nɔ ebul fɔ du natin. Di infɔm kɔnsɛnt prɔses de gi yu di tɛm we yu nid fɔ ɔndastand ɔltin. Nɔ fred fɔ aks ɛni kwɛstyɔn ɔ gɛt mɔ infɔmeshɔn te yu rili biliv wetin yu dɔn disayd fɔ du. If yu ebul, i go fayn bak fɔ mek yu put pɔsin na yu fambul ɔ padi we yu kin abop pan fɔ tɔk to yu.

Yu wɛlbɔdi de na yu an. Mek disizhɔn we yu no gud gud wan, aks kwɛstyɔn, ɛn ɔndastand. Na yu rayt! Dɔn bak, nɔ fɔgɛt se yu gɛt kɔmplit kɔntrol pan di tritmɛnt we yu de gɛt.

` Infɔm Kɔnsɛnt, Mɛdikal Tritmɛnt, Pɔsin Rayt, Ɛlth Keya, Ɔpreshɔn, Mɛdikal Tɛst