consent and capacity

Question 1

what are the 9 GDC standards

Answer 1

put ptx interests first
communicate effectively
obtain valid consent
maintain and protect ptx info
have a clear and effective complaints procedure
work with colleagues in a way that best suits your patients
work within your knowledge and skills
raise concern if you believe a ptx is at risk
ensure your personal behaviour is professional

Question 2

what 2 things must consent be

Answer 2

valid and legal

Question 3

what makes consent valid

Answer 3

• remains current (ptx still agrees)
• was obtained recently enough
• specific to treatment being carried out

Question 4

what makes consent legal

Answer 4

• ptx has ability
• ptx is informed and has sufficient info
• ptx made a voluntary decision

Question 5

what are the 5 elements of capacity

Answer 5

ptx must be able to …

• act
• make a reasoned decision (not necessarily a logical one)
• communicate a decision
• understand a decision and its consequences
• retain memory of a decision (for long enough given the context)

Question 6

at what age in Scotland is a ptx presumed to have capacity

Answer 6

16

Question 7

who makes treatment decisions for a child

Answer 7

mum - automatically responsible
dad - if married to mum or on birth certificate
other e.g step / grand parents don’t have unless legally obtained

Question 8

is parental responsibility retained after divorce

Answer 8

yes

Question 9

informed consent (4)

Answer 9

• info must be communicated and understood so ptx can make an appropriate decision
• questions must be answered honestly and truthfully
• treatment should not exceed consent given
• ptx individual wishes should be checked

Question 10

in relation to gdc standard 3.1.3 what things might a ptx want to know in relation to potential treatment

Answer 10

• treatment options and the risks and benefits associated with each
• why treatment is necessary
• consequences risks and benefits of proposed treatment
• associated costs
• your recommendation
• likely prognosis (outcome)
• what might happen if treatment isn’t carried out
• how long is the treatment guaranteed for , do any exclusion apply

Question 11

objective material risk

Answer 11

a reasonable person would attach significance

Question 12

subjective material risk

Answer 12

a particular person would attach significance e.g a chef and taste

Question 13

what are the 6 elements of consent

Answer 13

• valid
• with capacity
• informed
• voluntary
• not coerced
• not manipulated