What type of consent involves direct communication with the patient for permission?

The correct choice is expressed consent because it specifically refers to the type of consent that is granted through direct communication with the patient, where the patient's permission is clearly articulated and sought. This can occur verbally or in writing, but the key aspect is that the patient is actively indicating their agreement to a specific treatment or intervention.

Expressed consent is vital in medical practice as it demonstrates respect for patient autonomy and ensures that individuals are fully aware of the procedures they agree to undergo. This type of consent contrasts with other forms of consent, such as implied consent, which assumes agreement based on a patient's actions rather than explicit communication. In situations where informed consent is required, it represents a broader concept that encompasses the necessity for patients to be given comprehensive information regarding the risks, benefits, and alternatives to a treatment. However, the distinguishing feature of expressed consent lies in its direct and overt nature of the patient's approval.

The concept of coercive consent suggests scenarios where consent is obtained through pressure or manipulation, which deviates from ethical standards in medical practice. Therefore, focusing on the clear communication between the healthcare provider and the patient highlights why expressed consent is the correct answer.