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Psychiatry > Consent > Flashcards

Consent Flashcards

1
Q

What three things do you need to know and understand in order to be able to consent?

A

The nature of the procedure
The purpose of the procedure
The implications of the procedure

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2
Q

What do you need to have before you can consent?

A

Capacity

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3
Q

What do you need to be able to do to have capacity?

A

Understand and retain information relevant to the decision in question
Believe that information
Weigh that information in the balance to arrive at a choice

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4
Q

From what age is capacity automatically assumed?

A

16

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5
Q

Under what age are you assumed to have no capacity?

A

<12

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6
Q

Can a parent overrule the wishes of a competent child?

A

No

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7
Q

What two acts are used to detain those without capacity?

A

Mental Health Act

Adult with incapacity act

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8
Q

What is the point of the mental health act?

A

Protects rights of people with a mental disorder
Ensures those with a mental disorder receive effective care & treatment
Overrides an individual’s right to self determination for their benefit in certain well defined circumstances

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9
Q

What are the five criteria needed for detention under the MHA?

A
  • (Likely) Mental Disorder
  • Significantly Impaired Decision Making Ability
  • Determining treatment required (Giving treatment – STD & CTO)
  • Significant risk: Health, safety or welfare of patient or others
  • Informal/voluntary care not appropriate
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10
Q

What two kinds of detention are available under the MHA?

A

Emergency

Short term

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11
Q

What counts as a mental disorder?

A

Mental Illness
Learning Disability
Personality Disorder

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12
Q

What important things do not count as a mental disorder?

A 
Sexual orientation
Sexual deviancy
Transsexualism
Transvestism
Dependence on or use of alcohol or drugs
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13
Q

Who can use the MHA?

A

F2 and above (emergency detention)
Approved medical practicitioner (short term detention and compulsory treatment order)
Police (place of safety order)
Courts

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14
Q

When should the MHA be used?

A

To give treatment

For patient/others safety

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15
Q

Other than loss of capacity what can cause need for detention under the MHA?

A

Significantly Impaired Decision Making Ability (SIDMA)

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16
Q

What is SIDMA?

A

As a result of a mental disorder, the patients ability to make decisions about medical treatment is significantly impaired- hallucinations may make them not want to stay in hospital etc

17
Q

How long can you be detained for under emergency MHA?

A

72 hours

18
Q

Who can give an emergency detention order?

A

F2+

19
Q

What can you not do with an emergency detention order?

A

Treat

20
Q

Can you appeal an emergency detention order?

A

No

21
Q

When should an emergency detention order be used?

A

As a matter of urgency to detain the patient for the purpose of fully assessing mental state or where the patient is a significant risk to others.
Not enough time to order short term detention

22
Q

Do you need a mental disorder to be able to be detained under emergency detention?

A

No, just suspected of it

23
Q

How long can you be detained under a short term detention order?

A

28 days

24
Q

What can you do with a patient under short term detention order?

A

Asses and treat

25
Q

Who can issue a short term detention order?

A

Selected medical professionals with MHO consent

26
Q

Can you appeal a short term detention order?

A

Yes

27
Q

Who can appeal a short term detention order?

A

Patient and named individuals

28
Q

What can a short term detention order lead to?

A

Compulsory treatment order

29
Q

How long does a compulsory treatment order initially last?

A

6m

30
Q

What does the patient need for a compulsory treatment order to be issued?

A

Proven mental disorder

31
Q

Who can apply for a compulsory treatment order?

A

Approved Medical Practitioner plus Mental Health Office supported by 2 medical reports: 1 from AMP and generally 1 GP

32
Q

What is mandatory with a compulsory treatment order?

A

Tribuneral

33
Q

Can you appeal a compulsory treatment order?

A

Yes

34
Q

If emergency treatment is needed which act should be used instead of MHA?

A

Adult with incapacity act

35
Q

When can emergency treatment be given?

A

To save the patient’s life
To prevent serious deterioration in the patient’s condition
To alleviate serious suffering
To prevent the patient from being a danger to themselves or others

36
Q

What treatment can be given under a Short Term Detention/ Compulsory Treatment Order

A

2 months medication

37
Q

What treatment cannot be given under a a Short Term Detention/ Compulsory Treatment Order?

A 
Electroconvulsive Therapy
Nutrition by artificial means
Vagus Nerve Stimulation
Transcranial Magnetic Stimulation
Any medicine given for the purpose of reducing sex drive 
Neurosurgery

Psychiatry (22 decks)

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