Consent, confidentiality and duty of candour Flashcards
What are the four principles?
• respect for autonomy (respecting patients rights to make decisions about own treatment)
• non maleficence (not causing harm)
• justice (treating people fairly)
• beneficence (promoting good for patient)
what is consent?
permission for something to happen or agreement to do something
What are the types of consent?
• Informed (the patients understanding)
• Explicit (Verbal or written)
• Implied (caution required)
• proxy (eg court mat consent on behalf of child)
What is required in the four criteria when making consensual decisions?
1) understand info relevant to decision
2) retain info
3) use or weigh info as part of decision making
4) communicate their decision
What is the Gillick competency?
• competency depends on what a child is consenting to (decided by the professional)
• A gillick competent child can refuse treatment (can be overruled by someone w parental responsibility)
• a gillick non competent child cannot refuse treatment
• a child views should still be considered, regardless of competence
When may it be appropriate to breach confidentiality?
• has the consent of the person under their care
• has to disclose by law
• should do so in the public interest
What is ‘Duty of Candour’
The professional responsibility to be open and honest with patients when something goes wrong with treatment/care that has potential to cause harm/distress
everyone working in pharmacy has responsibility to be open and honest when things go wrong to improve patient safety- and to other colleagues
How do we perfom ‘duty of candour’ to the patient?
• TELL the patient when something has gone wrong
• APOLOGISE to the patient
• OFFER an appropriate remedy or support to put matters right (if possible)
• EXPLAIN fully to the patient the short and long term effects of what has happened