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Issues that need to be addressed are patient competence, consent, right to refuse treatment, emergency treatment, confidentiality, and continuity of care. (a) Judge both the intrusiveness of the discussion and the patient's level of comfort before initiating such a discussion.Informed consent to medical treatment is fundamental in both ethics and law. Informed consent is valid only if given intelligently, knowingly, and voluntarily. A better reason for taking informed consent seriously is that it provides assurance that patients and others are neither deceived nor coerced. For we do in fact make some retrospective moral judgments with complete confidence. If the patient is a child, you must proceed on the basis of the best interests of the child and with consent. The obligation to obtain informed consent must always rest with the physician who is to carry out the treatment or investigative procedure. In virtually all jurisdictions, the need for full informed consent is obviated in emergency situations when the patient is unconscious. It is also important to recognize that informed consent is a process—it is not just completed when the patient signs a formal consent form.