Best Interests

Question 1

What are the 3 considerations to consider when consenting a patient?

Answer 1

1) Ethical
2) Legal
3) Capacity to make a decision

Question 2

What is section 2 of the mental capacity act?

Answer 2

Patient unable to make decision for themselves in relation to the situation because of impairment/disturbance in functioning of the brain

Question 3

What is section 3 of the mental capacity act?

Answer 3

Person deemed unable to make a decision if:

1) Understand the relevant information
2) Retain the information
3) Weigh up the information
4) Communicate their decision

Question 4

What 4 questions can be asked to determines whether a patient has capacity?

Answer 4

1. Does the patient understand the relevant information?
2. Can they retain the information?
3. Can they weigh up the information?
4. Can they communicate their decision?

Question 5

What must you tell a patient about their treatment in order for them to make an informed decision?

Answer 5

1) description of treatment or intervention
2) How it’s going to be done
3) Risks
4) Benefits
5) Alternative options and treatments

Question 6

What are the two main options for treating a patient deemed incompetent?

Answer 6

1. Can someone make a decision on their behalf e.g. lasting powers of attorney.
2. A healthcare professional can make decisions if it in the patient’s best interests.

Question 7

What 4 things need to be considered when deciding what’s in the patients best interests?

Answer 7

1. Will the patient have capacity in the future? If so when?
2. Consider the patient’s past and present wishes/feelings.
3. Consider the patient’s beliefs and values that would influence a decision.
4. Consult with anyone who needs to be consulted e.g. lasting power of attorney, carers etc.

Question 8

What is Fraser-Gillick competence?

Answer 8

If the patient is under 16 but deemed to be competent then can decide about treatment if understanding of consequence