Page 144 - Human Rights
P. 144

Faculty of Nursing
                                                                   Adult care Nursing Department



               This right indicates that children have the moral and legal right to the future exercise of autonomy,

               which falls within the general category of rights of the child (or another person with reduced

               capacity) that must be protected at present to be exercised later in life.


               This concept was proposed by Joel Feinberg in 1980 in the sense of rights-in-trust (Feinberg 1980).

               In  the  case  of  adolescents,  the  fundamental  ethical  question  lies  in  the  degree  of  assessed

               maturity.  Therefore,  consent  or  refusal  of  treatment  must  be  strictly  dependent  on  the

               assessment made in this regard (professional and legal assessment).

               However, if any citizen has the right to be informed about a disease, they also have the right not

               to be informed about their health.


               This indicates that the exercise of autonomy may require contemplating exceptions to express

               consent if that is the real will of the patient (Newman 2015).


               Knowledge of personal genetic information or serology for human immunodeficiency virus (HIV)
               is a concrete example of this right of not to know.


               That is, there may be circumstances in which the physician must refrain from informing the patient

               if  this  is  the  patient’s  express  wish  (waivers)  in  accordance  with  the  ethical  principle  of  non-

               maleficence. Excessive and/or unwanted information can be clearly harmful to the patient.

               Therefore, physicians often provide such information to the family if this is the patient’s wish.


               In this way, the right to personal self-determination is respected (Bode and Jones 2017).


               However, freedom, autonomy, and self-determination are concepts that are clearly associated
               with privacy.


               This right is intended to restrict any external intrusion, presupposing, and noninterference in the

               intimate sphere of the person, among other circumstances.



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