Capacity And Consent Flashcards
Define consent. (1)
Given voluntary and has the capacity to give permission.
What are the types of consent? (2)
Explicit
Implied
When would it be appropriate to obtain px’s explicit consent? (4)
Clinical procedure = complex.
Personal implications to px.
Clinical care not primary purpose.
Clinical procedure = research programme.
What happens if a different clinical investigation / tx is required? (1)
Patient consultation required.
What is the Montgomery Judgement? (1)
Px should be aware of any material risks involved in any recommended tx and reasonable alternatives to tx.
Give e.g. of material risks. (2)
Surgery
Clinical hazards
What are the key principles of Mental Capacity Act 2005? (5)
Has a mental capacity (> 16 yrs)
Supported to make decision.
Unwise decision
Best interest
Less restrictive options.
What Qs is considered for consent? (4)
Does patient knows the material risks of tx?
Does patient know reasonable alternatives to tx?
Do any exceptions apply?
Has the consent process been documented?
When would consider providing treatment in an emergency? (4)
Px in best interest
Save their life
Tx preventing deterioration
No ACP
Define ACP. (1)
Advanced Care Planning:
- Voluntary process of discussion where px can have the opportunity to plan for their future care and support.
What does an ACP discussion consist of? (4)
Px concerns and wishes
Values or personal goals
Illness and prognosis (undestanding)
Preferences and wishes for type of care.
Explain the link between MCA and ACP. (1)
Assessing having capacity (current wishes and future decision making)
Define covert administration of medicines. (1)
Medicines given in a disguised form without the knowledge of the person receiving them.
What are the action pathways for covert medications? (6)
Assess capacity (MCA)
Consider other options (less restrictive options)
Best interest decision agreed.
Covert medicines management plan.
Rx authorisation
Record keeping and documentation
