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A Revised Consent Model for the Transplantation of Face and Upper Limbs: Covenant Consent

International Library of Ethics, Law, and the New Medicine 73

By (author) James L. Benedict
Format: Hardback
Publisher: Springer International Publishing AG, Cham, Switzerland
Published: 12th Jun 2017
Dimensions: w 156mm h 234mm d 16mm
Weight: 557g
ISBN-10: 3319563998
ISBN-13: 9783319563992
Barcode No: 9783319563992
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Synopsis
This book supports the emerging field of vascularized composite allotransplantation (VCA) for face and upper-limb transplants by providing a revised, ethically appropriate consent model which takes into account what is actually required of facial and upper extremity transplant recipients. In place of consent as permission-giving, waiver, or autonomous authorization (the standard approaches), this book imagines consent as an ongoing mutual commitment, i.e. as covenant consent. The covenant consent model highlights the need for a durable personal relationship between the patient/subject and the care provider/researcher. Such a relationship is crucial given the recovery period of 5 years or more for VCA recipients. The case for covenant consent is made by first examining the field of vascularized composite allotransplantation, the history and present understandings of consent in health care, and the history and use of the covenant concept from its origins through its applications to health care ethics today. This book explains how standard approaches to consent are inadequate in light of the particular features of facial and upper limb transplantation. In contrast, use of the covenant concept creates a consent model that is more appropriate ethically for these very complex surgeries and long-term recoveries.

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