Should the chiropractic profession embrace the doctrine of informed consent?

Lehman, James J.; Conwell, Timothy D.; Sherman, Porter

doi:10.1016/j.jcm.2008.04.002

Cited by 9 publications

(6 citation statements)

References 4 publications

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“…The clinician should explain the diagnosis, treatment options (which may also include no treatment), and benefits and risks of the proposed treatment in terms the patient understands. 14,[24][25][26] The clinician may also wish to advise the patient of any substantive risks that might be present from the evaluation and physical examination procedures that will be performed, and if the procedure or therapy is to be provided by someone other than the clinician obtaining consent, the patient can be so advised. The patient must understand this information to make an informed decision.…”

Section: Informed Consentmentioning

confidence: 99%

Best-Practice Recommendations for Chiropractic Management of Patients With Neck Pain

Whalen

Farabaugh²,

Hawk

et al. 2019

Journal of Manipulative and Physiological Therapeutics

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Objective: The purpose of this study was to develop best-practice recommendations for chiropractic management of adults with neck pain. Methods: A steering committee of experts in chiropractic practice, education, and research drafted a set of recommendations based on the most current relevant clinical practice guidelines. Additional supportive literature was identified through targeted searches conducted by a health sciences librarian. A national panel of chiropractors representing expertise in practice, research, and teaching rated the recommendations using a modified Delphi process. The consensus process was conducted from August to November 2018. Fifty-six panelists rated the 50 statements and concepts and reached consensus on all statements within 3 rounds. Results: The statements and concepts covered aspects of the clinical encounter, ranging from informed consent through diagnosis, assessment, treatment planning and implementation, and concurrent management and referral for patients presenting with neck pain. Conclusions: These best-practice recommendations for chiropractic management of adults with neck pain are based on the best available scientific evidence. For uncomplicated neck pain, including neck pain with headache or radicular symptoms, chiropractic manipulation and multimodal care are recommended.

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Section: Informed Consentmentioning

confidence: 99%

Best-Practice Recommendations for Chiropractic Management of Patients With Neck Pain

Whalen

Farabaugh²,

Hawk

et al. 2019

Journal of Manipulative and Physiological Therapeutics

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“…This discussion should be documented in the patient's chart, and a consent form should be signed by doctor and patient. 27,28 In order to inform students of suspected, known, or potential risks involved in their laboratory activities and clearly describe laboratory policies, a Student Consent Form (Appendix B) is utilized. Clinicians supervising the screening are responsible for documenting significant findings, making arrangements for follow-up, and communicating to laboratory instructors any precautions or contraindications found.…”

Section: Communication Of Findings With Student and Instructorsmentioning

confidence: 99%

Laboratory Pre-Participation Screening Examination in a Chiropractic College: Development, Implementation, and Results

Funk

Cantito

2011

Journal of Chiropractic Education

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Introduction: Chiropractic students often serve as subjects in laboratories where they and their classmates practice examinations, various soft tissue techniques, physiological therapeutic modalities, and active rehabilitation. There are contraindications and risks associated with these procedures. This article describes how a procedure was developed to identify potential health concerns and risks that students may face while serving as subjects or performing procedures in clinical skills laboratories. Methods: Screening questions and examination procedures were developed through a consensus process. Findings from the screening process determine whether students may engage in full participation or limited participation (precautions) or are prohibited from receiving certain procedures (contraindications). Skills laboratory students and their instructors are informed of any identifiable precautions or contraindications to participation. Results: Since its implementation, precautions regarding delivery of manual therapies were found in 4% of those examined and precautions regarding receiving manual therapies in 11.5%. Contraindications to receiving specified manual therapies were found in 8%, and 4% had contraindications to certain physiological therapeutic modalities. Discussion: Further work is necessary to improve compliance with follow-up regarding diagnosis of conditions revealed or suspected. Future efforts should address how well students adhered to precautions and contraindications, the nature and frequency of injuries sustained within the laboratories, and what specific measures were taken by faculty to help students with special needs. Conclusion: This chiropractic college now has a method to describe potential risks, explain rules of laboratory participation, and obtain consent from each student. ( INTRODUCTIONStudents in chiropractic colleges must learn several complex psychomotor skills to become proficient chiropractors. In order to develop these skills, students often serve as subjects for classmates to practice examination and treatment procedures. The development of complex psychomotor skills takes time, practice, and attention to details of physical performance. For example, to develop the skill of delivering a proper high-velocity, low-amplitude (HVLA) manipulation, one must learn how to isolate contact and leverage landmarks, maintain good practitioner posture and balance, transfer weight efficiently, obtain joint pretension with a light contact, and thrust with proper amplitude and speed.1 There are different instructional methods to foster this type of learning, including physical and affective skill acquisition, 2,3 segmentation of learning objectives and skill development, 4 and quantitative feedback training methods. 5,6 Some instructors believe that the best way for students to learn is to practice each component of delivery on live subjects, culminating in a thrust with the intent to cavitate the joint. Others believe that the level of skill necessary before a thrust can be attempted i...

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“…Briggs et al state that their method 3 is the most relevant because it mimics what is seen on the Blair Protractoviews. 1 Their method looks at the image mimicking a base posterior or vertex radiograph (a coronal view). Blair insisted that the relationships of the condylar and lateral mass distal margins should not be assessed from the coronal view at all, but from a diagonally vertical perspective and "on a plane 90°to the [slope of the] articulation."…”

Section: Surface Area Congruence Of Atlas Superior Articulating Facetmentioning

confidence: 99%