Adults with Incapacity

Question 1

at what age in scotland can you make legally binding decisions for yourself

Answer 1

16

Question 2

what part of the adults with incapacity act (2000) applies to dental treatment

Answer 2

part 5

Question 3

what is the definition of incapacity

Answer 3

inability of an adult to enter into legally binding contracts

Question 4

what are five aspects to assessment of capacity

Answer 4

presume capacity
capacity may fluctuate
residual capacity
capacity is not ‘all or nothing’

Question 5

what are four important aspects when you are consenting anyone

Answer 5

keep language appropriate
break up information into trunks
ask them to explain to you what was discussed
assess retention

Question 6

what are examples of mental illnesses that might cause a person to not have capacity

Answer 6

mental illness, learning disability, dementia, acquired brain injury, ASD

Question 7

what are examples of physical disorders that can cause a person to not have capacity

Answer 7

locked in syndrome, unconscious following an accident

Question 8

what are the 5 key aspects of being incapable of

Answer 8

acting
making a decision
communicating decision
understanding decision
retaining the memory of decision

Question 9

what five key principles underpin the adults with incapacity act

Answer 9

benefit
minimum necessary intervention
take account of the wishes of the adult
consultation with relevant others
encourage the adult to exercise residual capacity

Question 10

what are the three aspects of benefit

Answer 10

any treatment must benefit the patient
without treatment that benefit would not be possible
any intervention must improve or enhance their life

Question 11

how should each action and decision be taken to achieve the purpose of treatment

Answer 11

minimum necessary

Question 12

how can you find what the patient might have previously wanted

Answer 12

relatives/ close friends
look for patient passport or care home notes
is their mouth heavily restored

Question 13

what is a proxy

Answer 13

a suitable adult substitute decision maker for someone without capacity

Question 14

what are the three types of power of attorney

Answer 14

continuing power of attorney
welfare power of attorney
combined power of attorney

Question 15

what are the two types of guardianship owners

Answer 15

welfare guardian
financial guardian

Question 16

when is power of attorney granted

Answer 16

while a patient still has capacity

Question 17

what two of the powers of attorney can consent to dental treatment

Answer 17

welfare and combined

Question 18

what is a guardianship order

Answer 18

court appointed person to make decisions on behalf of an adult with incapacity

Question 19

name four people with the power to consent

Answer 19

patient with capacity
welfare power of attorney
welfare guardian
medical and dental practitioners under section 47 of AWI act

Question 20

who can issue certificate of incapacity

Answer 20

medial practitioner primarily responsible for the patient care
consultant in charge of the patients care
dental practitioners
registered nurses
optometrists

Question 21

if a healthcare professional other than GMP signs a certificate of incapacity where is it only valid

Answer 21

under their area of practice