Consent and capacity Flashcards
What is implied consent?
Consent which is implied through actions etc, giving you their arm.
Whats is explicit/ express consent verbal and written?
Verbal- saying i give consent
Written- getting it in writting
Requirements for informed consent
- Informed
- Must be voluntary (not coerced)
- Capacity to consent and retain
When is consent necessary
In all interventions
When must consent be obtained?
prior to procedure
What exceptions are ‘best interest’
- Unconscious on admission to a& e
- intensive care situations
- emergencies theatre
- with severe mental health condition, lacking capacity.
- hospital treatment for self harm/ suicide
- risk to public health (TB ETC)
- severely ill/ living unhygienic conditions.
Why is consent important?
- Autonomy= person’s ability to make own decisions.
- Benefiance= do/ maximise doing good.
- Non-maleficence= to not do harm/minimise
- Justice= equality of treatment.
What can consent avoid?
avoid conflict,
prevent assault
avoid complaints/negligence
practice within the law.
Define consent according to NICE
Having the information and capacity to make a decision about a situation.
who states we need consent? professionally
NMC CODE
If a person doesnt have capacity to consent what act give permission to do something in best interest?
Mental capacity act 2005
Always presume capactiy unless…
- pt unable to understand info given to them to make choices.
- can understand but cannot retain
- unable to weigh up and relate info to their situation
- unable to communication their choices/wishes