Informed consent to medical treatment: the basis of a claim and the standards of disclosure

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Date
2008-08
Authors
Wilson, Maria Catherine Ivy
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Publisher
University of the Free State
Abstract
English: The right to security and control over the body is described as an absolute right in South African common law. It is also regarded as one of the essential and foundational constitutional rights, together with the right to life and dignity. The importance that the boni mores or legal convictions of the community place on the right to bodily integrity and self-determination are reflected in the requirements for the justification ground of volenti non fit iniuria. The essential elements of volenti non fit iniuria are knowledge, appreciation and, finally, consent, which is a personal and subjective state of mind. When a doctor applies force to the body of a patient without the patient's informed consent, the use of assault, a specific type of iniuria in South African law, as a cause of action, reflects the importance that society places on the right to bodily integrity and self-determination. On the other hand, where the English breach of duty of care and negligence is used, the rights to bodily integrity and self-determination are undermined. It is recommended that South Africa adopts assault as a primary cause of action.
Afrikaans: Die reg tot sekuriteit en beheer oor die liggaam word beskryf as 'n absolute reg in die Suid-Afrikaanse reg. Dit word ook as 'n noodsaaklike en fundamentele konstitusionele reg beskou tesame met die reg op lewe en waardigheid. Die belangrikheid wat die boni mores of wetlike oortuigings van die gemeenskap plaas op die reg tot liggaamlike integriteit en selfbehoud word weergegee in die vereistes vir die regverdiging van volenti non fit iniuria. Die noodsaaklike elemente van volenti non fit iniuria is kennis, waardering en, finaal, toestemming, wat 'n persoonlike en onafhanklike bewustheid teweeg bring. Wanneer 'n dokter geweld gebruik teenoor n pasiënt se liggaam sonder ingeligte toestemming, aanranding, 'n spesifieke tipe iniuria in die Suid-Afrikaanse reg, as 'n aksie, die belangrikheid wat die gemeenskap plaas op die reg tot liggaamlike integriteit en selfbehoud, weerspieël. Aan die anderkant, waar die Engelse plig van versorging en nalatigheid gebruik word, word die reg tot ligaamlike integriteit en selfbehoud ondermyn. Dit word aanbeveel dat Suid-Afrika aanranding as 'n primêre aksie, aanvaar.
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Keywords
Medical laws and legislation -- South Africa, Informed consent (medical law) -- South Africa, Patients -- Legal status, laws, etc. -- South Africa, Dissertation (LL.M. (Criminal and Medical Law))--University of the Free State, 2008
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