Learning outcomes of the course unit
The student has to know the legislation on informed consent and be able to deal with the different cases that arise in this field, and which are regulated by law 219/17. The student must have become aware of the need for training in communication with the patient, especially if with chronic diseases or poor prognosis.
Course contents summary
The nurse-patient relationship; communication with the patient, in particular with the patient with neurodegenerative and psychiatric pathology. Law 219/17 on consent: information to the patient, the collection of consent and dissent, the refusal of care, artificial nutrition and hydration, the advance planning of treatments, ethical aspects of palliative care, the living will, terminal patient rights. The jurisprudence on consent and emblematic cases that have posed ethical problems.
The nurse-patient-healthcare team communication
The patient with poor prognosis or with chronic pathology
Emergency assistance and the state of necessity
Refusal of care
Informed consent of the minor or the incapable
Advance care planning
Palliative care: ethical aspects of palliative sedation
The anticipated treatment provisions
The law 219 of 2017 and its assonances with health codes of ethics
The obligations of the healthcare facility with respect to law 219/17
FNOMCeO Ethical Code 2019
IPASVI Ethical Code 2019
Zagra M., Argo A., Bertol E., Carra E., Di Vella G., Madea B., Milone L., Scorretti C., Procaccianti P., “Medicina Legale orientata per problemi”. 2° Edizione, Elsevier, 2018.
DI LUCA N. M. - FEOLA T.
Cecchi R. - Ciallella C. - Marinelli E. - Marsella L. T. - Ricci S. - Vecchiotti C.: Manuale di medicina legale, I edizione, Edizioni Minerva Medica, 2017
Assessment methods and criteria