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A Revised Consent Model for the Transplantation of Face and Upper Limbs: Covenant Consent (Hardcover, 1st ed. 2017)
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A Revised Consent Model for the Transplantation of Face and Upper Limbs: Covenant Consent (Hardcover, 1st ed. 2017)
Series: International Library of Ethics, Law, and the New Medicine, 73
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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.
General
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