Yu dɔn ɛva go na ɔspitul? Ɔ yu dɔn ɛva go si pɔsin we sik? Yu go mɔs mɛmba we, bifo dɛn du big ɔpreshɔn ɔ spɛshal tɛst, dɔktɔ ɔ nɔs go kam wit fayl ɛn se, “Sayn dis.” Sɔntɛnde, wi ɔl kin sayn we wi nɔ kin tink bɔt bɔku tin. Bɔt yu no se da sayn de nɔto jɔs mak pan pepa, na di impɔtant tin we yu go disayd fɔ du bɔt yu wɛlbɔdi biznɛs? Na dat wi de kɔl "Informed Consent."
Wetin na ‘Infɔm Kɔnsɛnt’?
Fɔ tɔk am simpul wan, fɔ gri fɔ du sɔntin we yu no bɔt na di we aw yu fɔ gɛt yu kɔnsɛnt bay we yu tɛl yu ɔltin bɔt di tritmɛnt ɔ tɛst we yu go du. I nɔ jɔs bi sayn. Na rili impɔtant tɔk bitwin yu ɛn di dɔktɔ we de trit yu.
Insay dis tɔk, sɔm tin dɛn de we di dɔktɔ nid fɔ ɛksplen to yu:
- Us tritmɛnt/tɛst dɛn go du: Wetin rili dɛn go du to yu? Wetin dɛn kɔl am? Aw dɛn go du am?
- Di bɛnifit dɛn: Wetin yu go gɛt frɔm dis tritmɛnt? Yu sik go bɛtɛ? Yu tink se yu sik go stɔp?
- Risk ɛn sayd ɛfɛkt: Ɔl di mɛrɛsin we dɛn kin du kin gɛt sɔm risk. Fɔ ɛgzampul, di pɔsibul fɔ mek wund gɛt di sik afta dɛn dɔn ɔpreshɔn am, di pɔsibul fɔ mek i gɛt alɛji fɔ anestezi, ɔ di sayd ɛfɛkt dɛn we sɔm mɛrɛsin dɛn kin gɛt. Dɛn fɔ ɛksplen ɔl dɛn tin ya to yu klia wan.
- Ɔda tin dɛn we yu kin du: Ɔda tritmɛnt dɛn de we yu kin pik apat frɔm dis wan? Wetin na dɛn? Wetin na di gud ɛn bad tin dɛn we dɛn kin du?
- Wetin go apin if yu nɔr gɛt tritmɛnt: Wetin kin apin to yu wɛl bɔdi if yu nɔr gri fɔ tek dis tritmɛnt.
Afta di dɔktɔ dɔn ɛksplen ɔl dis, i fɔ gi yu di chans fɔ aks ɛni kwɛstyɔn we yu gɛt. If yu ɔndastand ɔltin ɛn se, "Okay, a gladi wit dis," na dat dɛn kɔl "Giving Consent." Dis na sɔntin we lɔ ɛn bak di kɔd fɔ mɛdikal ɛtiks se.
Wetin mek dis kɔnsɛntmɛnt we dɛn no bɔt impɔtant so?
Imajin se yu de plan fɔ travul wit yu padi. Yu padi nɔ de tɛl yu usay dɛn de go, ɔmɔs i go kɔst, ɔ wetin dɛn go du. If dɛn jɔs se, "Lɛ wi go," yu go go? Nɔ, yu kin jɔs go afta yu dɔn yɛri ɔl di ditil dɛn ɛn yu kin fil fayn wit am. Na so i bi wit dis.
Di prɔses fɔ gri fɔ du sɔntin we yu no bɔt de protɛkt yu ɛn yu dɔktɔ.
- Di protɛkshɔn we yu kin gɛt:Yu sabi gud gud wan wetin go apin to yu. So yu nɔ nid fɔ rigrɛt am leta, ɛn se, "O, a nɔ bin no se dis go apin." Yu gɛt di las wɔd fɔ wetin yu de du wit yu bɔdi. Dis kin mek yu gɛt bɔku kɔnfidɛns ɛn trɛnk.
- Protɛkshɔn fɔ di dɔktɔ: We dɛn ɛksplen ɔltin ɛn du tritmɛnt wit di pɔsin in kɔnsɛntmɛnt, dɛn kin avɔyd bɔku pan di ligal prɔblɛm dɛn ɛn misɔndastandin we kin kam leta.
Fɔ tɔk am simpul wan, dis kin mek yu bi pɔsin we de tek pat pan yu yon wɛlbɔdi biznɛs. Yu nɔr jɔs de gɛt tritmɛnt, bɔt yu na pat pan de disizhɔn prɔses.
Us kayn tin dɛn nid fɔ gri fɔ du sɔntin we dɛn no bɔt?
Jɛnɛral wan, yu fɔ gri fɔ du sɔntin we yu no bifo ɛni tɛst ɔ tritmɛnt we gɛt fɔ du wit ɛni risk. Dis inklud di prɔblɛm dɛn we kin apin to yu bɔdi ɛn bak di prɔblɛm dɛn we kin apin to yu prayvet pat. Di tebul we de dɔŋ ya sho klia wan sɔm pan dɛn tin ya.
| Medikal prosidur/opportunity | Wan simpul ɛksplen |
|---|---|
| Ɔpreshɔn | Eni kayn opareshɔn , big ɔ smɔl. |
| Anestesia we dɛn kin yuz fɔ mɛn pipul dɛn | Fɔ gi yu ful ɔ pat pan di anestezi bifo dɛn du di ɔpreshɔn. |
| Bayopsi dɛn we dɛn kin du | Fɔ tek smɔl pat pan di bɔdi ɛn chɛk am. |
| Blɔd we dɛn kin gi pɔsin | Gi blɔd to yu bɔdi frɔm do. |
| Tritmɛnt fɔ kansa | Tritmɛnt dɛn lɛk redyushɔn ɛn kemotɛrapi. |
| Klinik Trial dɛn we dɛn kin du | If yu de tek pat pan stɔdi bɔt nyu mɛrɛsin ɔ tritmɛnt. |
| Test dεm we dεn kin du insay di bכdi | Fɔ ɛgzampul, tɛst dɛn we dɛn kin put kamɛra insay di bɔdi, lɛk ɛndoskopi. |
| Drugs wit inkris risk | Bifo yu gi yu mɛrɛsin dɛn we gɛt ay risk, lɛk sɔm strɔng pen kil (e.g., opioid). |
Apat frɔm dat, if dɛn gi yu pɔsin in infɔmeshɔn, lɛk yu mɛdikal rɛkɔd to ɔda pɔsin ɔ ɔganayzeshɔn, yu nid fɔ gri bak.
Wetin i rili min fɔ se ‘A gi mi kɔnsɛnt’?
We yu sayn ɛn gi kɔnsɛnt, yu de tɔk se, "Di dɔktɔ ɛksplen ɔltin to mi, a ɔndastand ɔltin, so a go lɛk fɔ gɛt dis tritmɛnt."
Bɔt di tin we impɔtant pas ɔl na dis.
Yu nɔ nid fɔ du am jɔs bikɔs yu sayn am. Yu kin pul yu kɔnsɛntmɛnt ɛni tɛm, nɔto jɔs bifo di tritmɛnt bigin, bɔt ivin afta i bigin if yu fil se yu nid fɔ stɔp.
Dis na yu men rayt. If yu gɛt ɛni dawt ɔr fil se yu nɔr de fil fayn, yu gɛt di rayt fɔ aks fɔ stɔp di tritmɛnt ɛnitɛm.
Spɛshal kes dɛn de we dɛn nɔ nid fɔ gri fɔ du sɔntin we dɛn no bɔt?
Yɛs, insay sɔm imejensi ɛn spɛshal kes dɛn, dɔktɔ dɛn kin gɛt fɔ trit we dɛn nɔ du dis ɔl. Na sɔm kayn kes dɛn ya:
- We imejensi de: Imajin se dɛn kɛr pɔsin we nɔ bin no natin afta we i gɛt siriɔs aksidɛnt na rod to di ETU (Imergency Treatment Unit). I nɔ ebul fɔ tɔk, i nɔ ivin no udat i bi. Bɔt dɛn nid fɔ du ɔpreshɔn pan am kwik kwik wan fɔ sev in layf. We dis kayn tin apin, dɔktɔ dɛn kin bigin fɔ trit dɛn wit di aim fɔ sev layf, ɛn dɛn nɔ kin wet fɔ di pɔsin in kɔnsɛntmɛnt. Bɔt dɛn kin tray bak fɔ fɛn ɛn tɛl di famili kwik kwik wan.
- We di pɔsin sik tumɔs fɔ disayd fɔ du sɔntin: Pɔsin we de na kɔma ɔ we nɔ ebul fɔ disayd fɔ du sɔntin na in maynd nɔ go ebul fɔ gi in kɔnsɛntmɛnt. If na so i bi, dɛn kin gɛt kɔnsɛnt frɔm di pɔsin we de kia fɔ dɛn we di lɔ ɔ di pɔsin we de nia dɛn.
- Pikin dɛn we nɔ rich 18 ia yet: Jɛnɛral wan, ɔnda di lɔ na Sri Lanka, na di pikin in mama ɛn papa ɔ di wan dɛn we de kia fɔ di pikin we nɔ rich 18 ia yet kin disayd fɔ du mɛrɛsin. So, if pikin du sɔntin lɛk ɔpreshɔn, na dɛn nid fɔ sayn ɛn gi kɔnsɛnt.
We wi nid mɛrɛsin, mɔ if na imejensi, wi kin fred smɔl ɛn wɔri. Wi nɔ go ɔndastand di wɔd dɛn we di dɔktɔ dɛn kin tɔk, di wɔd dɛn we dɛn kin yuz fɔ mɛn pipul dɛn. Sɔntɛnde lɛk dat, wi kin tink se, “O, a nɔ ebul fɔ disayd dɛn tin ya.”
Bɔt mɛmba se yu nɔto pɔsin we nɔ ebul fɔ du natin. Dis prɔses fɔ Infɔm Kɔnsɛnt na fɔ gi yu pawa. Aks kwɛstyɔn dɛn te yu ɔndastand. Nɔto jɔs wan tɛm aks am, bɔt tɛn tɛm aks am. Nɔ fred fɔ aks se, "Dɔkta, a nɔ bin ɔndastand wetin yu tɔk, yu kin ɛksplen am bak wit simpul wɔd dɛn?" Dat na yu rayt. Di tin we impɔtant pas ɔl na fɔ disayd bɔt yu bɔdi wit ɔl yu ɔndastandin.
Mɛsej we dɛn kin kɛr go na os
- Informed Consent nɔto jɔs sayn. Na impɔtant tɔk bitwin yu ɛn yu dɔktɔ.
- Bifo yu du ɛni tritmɛnt ɔ tɛst, yu gɛt rayt fɔ no bɔt di bɛnifit dɛn we i gɛt, di bad tin dɛn we i kin du, ɛn ɔda tin dɛn we yu kin du .
- If yu nɔ klia bɔt sɔntin, nɔ ɛva fred fɔ aks kwɛstyɔn te yu ɔndastand .
- Ivin if yu sayn ɛn gi kɔnsɛnt, yu gɛt di rayt fɔ pul da kɔnsɛnt de ɛni tɛm .
- Insay imejensi we kin mek yu layf de pan denja usay yu nɔ kin ebul fɔ tɔk, dɔktɔ dɛn kin trit yu we dɛn nɔ want fɔ sev yu layf.
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