The clause in the prototype form, which authorizes additional or alternative procedures, requires specific comment. In their preoperative statements to patients, surgeons will always try to anticipate in advance the different conditions that might arise and the alternative methods to be added during the operation. However, it is not uncommon for circumstances to compel the physician to consider an extension of the procedure, which could not be foreseen and which was not mentioned in advance by the patient. According to the patient-centred standard adopted by the Hawaiian courts to determine whether certain information should be disclosed to a patient, an alternative dosage may constitute a "recognized alternative treatment" within the meaning of subsection b) (4); when the applicants advanced evidence that recognized alternative dosing patterns posed a lower risk of steroidal myopathy, the applicants provided evidence that a sensible person should hear the different methods of pulsation recognized for making an informed decision. 125 H. 253, 259 pp.3d 569 (2011). In special circumstances, a pre-treatment obligation may be the responsibility of more than one physician involved in the treatment. For example, a radiologist performing an invasive diagnostic procedure would likely be considered responsible for the way the test is performed and the risks associated with it. It can also be expected that the doctor who ordered the test will communicate it to the patient in general about the nature and purpose of the test and the alternatives that could be used. Informed consent stems from a person`s legal and ethical right to decide what is done with his or her body and the physician`s ethical obligation to ensure that individuals are involved in decisions about their own health care. The informed consent assurance process consists of three phases, all involving the exchange of information between the physician and the patient, which are part of the patient`s education. First, in words that a person can understand, the doctor must pass on the details of a procedure or treatment, its potential benefits and serious risks and all possible alternatives. The patient should be presented with information on the most likely outcomes of treatment.
Second, the physician must assess whether the person has understood what has been said, determine whether the risks have been accepted and that the patient agrees to continue the procedure or treatment with full knowledge and knowledge. Finally, the person must sign the consent form that documents the most important points in the general format. The only exception is the guarantee of informed consent in the event of an extreme emergency.