consent and capacity

Question 1

list the 9 GDC standards?

Answer 1

put patients interest first

• communicate effectively with patients
• obtain valid consent
• maintain and protect patient info
• have clear and effective complaints procedure
• work with colleagues in a way thats in the patients best interest
• maintain, develop and work within professional knowledge and skill
• raise concerns if patient at risk
• make sure personal behaviour maintains patient confidence in the dental profession

Question 2

what are the 2 conditions for consent?

Answer 2

valid and legal

Question 3

what makes consent valid?

Answer 3

remains current, specific to proposed treatment and obtained recently

Question 4

what makes consent legal?

Answer 4

patient has ability to make informed decisions
patient is informed
consent is voluntary

Question 5

list the 6 principles for consent?

Answer 5

not manipulated
valid
with capacity
informed
voluntary
not coerced

Question 6

list the 5 principles of capacity?

Answer 6

to act
to make reasoned decisions
communicate decision
understand decisom
retain memory of decision

Question 7

capacity is presumed in patient over what age?

Answer 7

16

Question 8

can patients under 16 give consent?

Answer 8

yes if if they have sufficient maturity and intelligence and are deemed to have capacity

Question 9

when an adult gives consent for a child’s treatment they must have parental responsibility, who has parental responsibility?

Answer 9

mum automatically

dad must be married to mum and named on birth certificate (after may 2006)

Question 10

what must you tell patient in order for them to be fully informed?

Answer 10

options for treatment, risks and benefits
why treatment is necessary and appropriate
consequences
likely prognosis
recommended option
cost of proposed treatment
what might happen if proposed treatment is not carried out
they can change mind

Question 11

consent may be implied or explicit, when may both be sufficient?

Answer 11

implied for minor procedures

explicit for major or invasive procedures

Question 12

when may consent not be required?

Answer 12

• emergency arises in clinical setting and its not possible to find out patients wishes you can treat provided the treatment is immediately necessary to save their life or prevent serious deterioration of their condition