Consent + AWI

Question 1

What is consent?

Answer 1

consent is a continuous process which is voluntary and Is where pt is informed and has capacity to consent to a tx and understands risks, benefits, alternatives, and can communicate this decision to us

Question 2

What factors make up consent?

Answer 2

Valid
Informed
Non coerced
Not manipulated
Current
With Capacity
Relevant to tx - continuous

Question 3

What makes up valid consent?

Answer 3

Specific to tx
Recently obtained (continuous)
Appropriate

Question 4

What makes informed consent?

Answer 4

Aware of contents of proposed tx
risks
benefits
alternative tx
likely success rates
costs
likely duration of tx
impact of no tx

Question 5

Who has capacity to consent?

Answer 5

Presume everyone until proven otherwise

In Scotland children over age of16 have capacity to consent
Children over age of 12 can have input into decisions made - gillik consent

Question 6

How do we assess capacity?

Answer 6

Pts ability to understand tx, purpose of tx, nature of tx and why
risks benefits and alternatives
retain info for 24hrs
understands consequences of no tx
can pt communicate and make a choice? and understand why?

Question 7

What is montogomery consent?

Answer 7

This is where we must consider material risks of tx which may pose significant impact o the pts life if it were to occur (not just standard risks, personalised risks tailored or that person)

Question 8

What act allows children to consent?

Answer 8

Children Act 1995 - from age 12 and up childrenn can have input on their tx even if not fully competent to consent
adults over 16

Question 9

What is Gillik Competency?

Answer 9

This is where we assess childs ability to consent - their maturity, ability to understand, retain, make and communicate decisions

Question 10

Who has parental capacity?

Answer 10

Mum

Dad if married to mum at conception or after brith of child

dad if on birth certificate and child born after 4 may 2006

Question 11

What act is in place for adults who cant consent/lack capacity to make decisions related to welfare and finances?

Answer 11

AWI 2000

Question 12

What is the AWi 2000

Answer 12

This is act in place to safeguard adults who lack capacity and are unable to make financial or welfare decisions due to mental illness, disability or other illness

Question 13

What does AWI define as an adult who is unable to consent?

Answer 13

Adult unable to enter legally binding contract

Question 14

What are the 5 key principles of part 5 of AWI 2000

Answer 14

1. benefit the pt
2. minimum necessary intervention
3. encourage residual capacity
4. take into account adults wishes
5. consult relevant others

Question 15

Who can consent to tx?

Answer 15

Adults/individuals with capacity
Those with welfare power of attorney
those with a welfare guardian
AWI Act section 47 (by dentist trained or GMP)

Question 16

What is the difference between welfare power of attorney and welfare guardian?

Answer 16

Welfare POA are appointed before person looses capacity by court and only come into play once person has lost capacity and unable to make their own decisions - lay dormant until required and allow person to make welfare/health decisions

Welfare Guardian is appointed after pt has lost capacity and ability to make decisions and is court appointed and usually lasts for 3 years for welfare decisions