Consenting

Question 1

What do you need to know to be able to consent?

Answer 1

GMC guidance states it should be the doctor preforming the procedure or an individual with suffieicent training / knowledge

Question 2

If you area unable to consent a patient, what should you do?

Answer 2

• Make seniors aware
• Find alternative person able to consent
• Observe consent
• Observe Procedure
• Offer to assist in case
• Reflect on ISCP / Portfolio (+/- work based assessment)

Question 3

How would you assess capacity

Answer 3

According to the mental capacity act 2005 The patient has to be able to:

• Understant the information
• Retain the information
• use the information / weigh up the information
• communicate their decision

Question 4

When consenting a patient who appears confused what must you do?

Answer 4

1. Assess capacity
2. If they don’t have capacity, determine if this is due to an acute and reversible case or a chronic cause
3. if reversible, and the surgery can be delayed, this should be delayed until confusion has resolved or cause reversed

Question 5

what is the consent procedure for patients who lack capacity?

Answer 5

1. You would act in the patients best interest whilst taking In to account
   - advanced directives
   - lasting power of attorney
   - views of the family
   - patients views
   - whether the capacity is temporary or reversible

Question 6

what are the different types of consent form?

Answer 6

1. Consent form 1 - patient agrees to investigation or treatment (Adults with capacity)
2. consent form 2 - Parental agreement to investigation or treatment (children)
3. consent form 3 - patient / parental consent for procedures where the patient is alert throughout the procedure
4. Consent form 4 - adults who are unable to consent for investigation or treatment

Question 7

can a patients relative stop a consent form 4?

Answer 7

the management decision is made by the doctor in the patients best interest, unless

• the patient has a signed advanced directive
• the relative has lasting power or attorney.

Question 8

can children give informed consent?

Answer 8

• If over the age of 16, children are deemed to be compitent and able to give consent.
• if <16 they are able to consent for procedures If they are deemed Gillick competent (understand, retain, weight up and communicate decision)
• always encourgage the child to involve the parents

Question 9

can a parent prevent a Gillick competent child from having an operation

Answer 9

no