Consent Flashcards
Rebecca
why is consent a good thing?
deontological justification - patient autonomy
Condequentialist justification - patient has control over healthcare so best consequnces
what are the 4 criteria for valid consent
patient must have capacity, must give consent volunatrily
must be informed
consent must be continuing
what is capacity decided by
time and decision specific
what are the forms consent can take
written, verbal, assumed
what are the 2 approaches to capacity and explain them
status - divided into 2 groups e.g. adults and children function - measure of capacity to give consent
what are the 5 criteria under the adult capacity act for CAPACITY
understand information retain information use and weigh info communicate their decision hold decision consistently
what are the 5 criteria under the adult capacity act for INCAPACITY
incapable of
- acting
- making decisions
- communicating decisions
- understanding decisions
- retaining memory of decisions
why might someone lack capacity
impariment, disturbance in the functioning of the mind/brain
what makes assessing capacity difficult
not once and for all non-cooperation decision could be irrational and bizzare underlying conditions communication problems
what are the 3 proxy-decision makers
lasting power of attorney (patient delegates person) advance directives (patient makes before) best interests test
outline what is meant by a gillick competent person
doctors can give advice/treatment without parental consent in the best interests of patient, if they have sufficient maturity to understand what is involved
difficulties around the area of informed consent in practice
must not be coerced - beaware of undue influence
it is a process not an event
do patients understand what consent is
how much info is sufficient to be infromed to make decision
