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DOCTRINE OF INFORMED CONSENT IN HEALTHCARE: ITS CURRENT PRACTICE IN MALAYSIA

By:

Norhani Bt Nordin (2005600947) Nornadia Bt Muri (2005479349) Nurul Najwa Bt Zainuddin (2005479530)

Submitted in Partial Fulfillment of the Requirements for the Bachelor in Legal Studies (Hons)

Universiti Teknologi MARA Faculty of Law

October 2007

The students/authors confirmed that the work submitted is their own and that appropriate credit has been given where reference has been made to the work of others.

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Acknowledgement

We would like to express our utmost gratitude and heartfelt appreciation to several people who were willing to lend us their hands to guide us in completing this research paper. They are as follows: much credit goes to Encik Mohd Haris Bin Abdul Rani, our supervisor for his generous guidance and for his willingness to share with us his knowledge concerning our area of research. We wish to convey our thanks to the staffs in Perpustakaan Tun Abdul Razak 2, for facilitating the course of our research in the library and also to Encik Shaufi, who had helped us around when we were doing our research in the law library of Universiti Malaya. Many thank you to our beloved parents for their endless moral support to keep us going. Last but not least for friends and fellow group mate for making this research paper possible.

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Abstract

The main objective for this Honours Project Paper is to unearth the application of the doctrine of informed consent in healthcare and its application in Malaysia. Apart from that, we also highlighted several landmark cases and also developments of this doctrine in other countries including United Kingdom, Australia and United States of America. We also enlighten our readers with the significance of this doctrine so that they would know what their rights are when it comes to the negligence of their physician in informing them the nature and inherent risks in the proposed treatment. This doctrine has developed tremendously in the western countries therefore, it is important for us to keep abreast of its development.

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TABLE OF CONTENTS

Acknowledgement ii

Abstract iii Contents iv List of Cases vi

CHAPTER ONE: PROPOSAL

1.1 Introduction 1 1.2 Problem Statement 4 1.3 Objective of Study 5 1.4 Literature Review 6

1.5 Limitation 12 1.6 Significance of Study 12

1.7 Methodology 13 1.8 Provisional Plan of Research 14

CHAPTER TWO: INTRODUCTION

2.1 Definitions 15 2.1.1 Torts and the doctrine of informed consent 15

2.2 Philosophy of Torts 16 2.2.1 Negligence in Torts 16

2.2.2 Duty of care 17 2.2.3 Standard of duty of care 18

2.2.4 Duty to warn 19 2.3 Brief history of the doctrine of informed consent 20

2.4 The Reasonable man Test 22

2.5 Breach of duty 24 2.6 Causation 25

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CHAPTER ONE: PROPOSAL

1.1 Introduction

Healthcare is no longer a luxury but has rather become an indispensable necessity in life.

Over the years, we can observe how healthcare has undergone rapid advancement in order to cater to the needs of the society at large, and to a certain extent, the whimsical desires of a select few. However, be it now or a century ago, the fact remains that physicians had to go through undeniably rigorous study of the human anatomy among others to enable them to provide service to those in need of them. Physicians or doctors, as is what they are commonly referred to as today, are of the specialized profession as one needs to acquire certain skills to be qualified as a doctor. It is a profession which calls for unwavering devotion and patience and consequently it is a profession that not many are able to tolerate, either because of the demanding and exerting pressure irrevocably linked to it or of gruesome and traumatizing situations that doctors often find themselves in.

It therefore comes as no surprise that doctors are viewed with the utmost respect and deference. These are people in whom trust and faith are placed to treat and cure any ailments with the knowledge and skills acquired during their course of study.

Accordingly, many do not feel it appropriate to question the actions of doctors prior to or during the course of treatment. The ingrained belief that doctors know best as they were trained in the particular field, also contributes to the general reluctance to enquire,

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