Recommendations

Chapter 11. Consent

2. Consent Forms in the Future

2.1 We have considered a number of consent forms for hospital
post mortem examination. Until recently all Alder Hey consent forms
referred solely to tissue and not organs.
The parents are keen to use the terms which are defined by the Concise
Oxford Dictionary as follows:
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Tissue:
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A collection of cells specialised to perform a particular
function.
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Organ:
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A part of the body composed of more than one tissue that
forms a structural unit responsible for a particular function.
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2.2 We have also considered a model consent form contained
in the publication by The Royal College of Pathologists in March
2000 entitled Guidelines for the Retention of Tissues and
Organs at Post Mortem Examination. The model is formal and
complex.
2.3 None of the forms we have seen provide the basis for
clinicians to obtain fully informed consent and properly to set
out and record the decision. Clear, informal language is essential.
It appears to us that the more official the form, the less efficient
it is in practice. Understanding, particularly in grief, is vital.
We suggest a new approach.
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