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In the case of neurological disorders, patient autonomy is a fundamental principle which must be taken into consideration. In the case of this pathology, fluctuating mental deterioration is encountered most frequently in the case of mild forms of dementia. In the case of severe forms of dementia, the patient loses any autonomy and requires permanent medical care, as well as a permanent legal representative.
Aim of this study was to know autonomy of the patients with certain neurological disorders about ability of making decisions for their medical care.
Material and method: Itisaquantitativeretrospectiveobservationalstudyanddataforwhichis gathered from theobservation charts of 323 patients attended in either emergency or outpatient, betweenApriltoDecember 2006,in“Prof.Dr.NicolaeOblu”ClinicalHospitalofEmergency, Iasi, Romania.Study subjectsweresplitinto2groups:Group1 (with a number of 215 cases)–agroupofpatientswiththe diagnosticsof acutecerebrovascularaccident,aphasiaanddementia.Group2 (with a number of 108 cases)–patientsknownorrecently diagnosed with amyotrophic lateralsclerosis, multiple sclerosisand myasthenia gravis.Consentinformedgiven by patientintheobservationchartsofabove twogroupswasobservedandnumberofpatientswhohas given consent was compared in both the groups.
Results: On the cases under study, only for 13.6% of the patients of the first group there is consent informed in the observation chart, while for the patients in the second group this percentage was slightly smaller (9.3%).
Conclusions: As very few patients have given written informed consent and more sever the neurological disorder less the chances to have written informed consent by patients. So it can be concluded that medical performance brings indisputable benefits, however it should be done by a careful selection of the subjects and by following ethical principles.
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