Capacity

Question 1

How can pt given consent?

Answer 1

Given all information, capacity, voluntariness and decision

Question 2

Do you always presume capacity?

Answer 2

Presume capacity in over 18yrs - would only question if felt appropriate

Question 3

How can pt prove capacity?

Answer 3

Understand, retain, weight and communication decision

MCA 2005

Question 4

If fail capacity can they never give consent?

Answer 4

No - capacity can fluctuate

Question 5

When is consent not required?

Answer 5

In extremis

If pt unable to give consent but at immediate danger consent not needed

Question 6

What is cohesion?

Answer 6

Swaying pt decision

Consent wouldn’t be voluntary therefore consent is invalid

Question 7

Can information be withheld?

Answer 7

Can be withheld to prevent pt distress
May be hard to justify and would be wise to share diagnosis
If pt doesn’t want result of test - legally has right to refuse information

Question 8

In case on cancer could you breach confidentiality and liase GP?

Answer 8

Yes if in pt best interest e.g care you can’t offer

Not because want to coheres pt into receiving tx