Consent Flashcards
What is consent?
voluntary permission of an informed person who has capacity to consent
What standard of the GDC refers to consent
standard 3
What is standard 3 of the GDC
obtaining of valid consent
How must the consent be valid
- must be gained of someone with capacity
- the person must be well informed
- the person must give the consent voluntary i.e not manipulated or co-erced
What is the criteria for capacity
Patient must be able to
- act
- make a reasoned decision
- communicate a decision
- understand a decision
- retain memory of a decision
What is a good method for trying to assess capacity
‘chunking’
What is chunking
When informing the patient of the procedure, risks, benefits etc - provide this information in chunks
After each chunk, check the patients understanding and memory of it
What are the key principles of the Adults with Incapacity Act 2000
- benefit
- minimum necessary intervention
- take into account wishes of the adult
- consultation with relevant others
- encourage adult to exercise residual capacity
From what age can you legally consent?
16
Can children consent?
If they are deemed gillick competent
Who has parental responsibility and so can consent for a child
Mother has automatic rights
Dad must be married to mum OR is named on the birth certificate if born after 2006
These rights are kept after divorce but lost when giving up for adoption
Who can consent on behalf of a child
Mother has automatic rights
Dad must be married to mum OR is named on the birth certificate if born after 2006
What should be discussed with a patient regarding their treatment when gaining their consent
- options for tx
- risks and benefits of each type of tx
- risks and benefits of proposed tx
- likely prognosis
- recommended option
- what might happen if tx isn’t carried out
- is tx gaurenteed
- what are the material risks
When is consent not required
emergency situation and can’t get patient wishes
adults with incapacity under certain conditions
