HCLP consent Flashcards
Define consent?
The voluntary and continuing permission to receive a particular tx. It must be based on adequate knowledge of the purpose, nature and likely effects and risks of that tx including the likelihood of its success and any alternatives.
what are the 3 consent requirements?
pt must be competent
pt must have knowledge
consent must be voluntary without coercion
what can affect competence?
age
maturity
temporary factors (alcohol and drugs)
illness
acquired/ innate cognitive impairment
what is Gillick competence?
children under 16 can consent to their own tx if they are believed to have enough intelligence, competence and understanding
what is the aim of the adults with incapacity (Scotland) act 2000?
to protect persons who lack capacity but also support the involvement in making decisions as far as an indivudal is able to do so
is capacity to consent is lost, where must the dentist seek consent from?
welfare attorney
can dentists sign section 47 certificates?
dentists can sign if have undergone approved training
what is a section 47 certificate?
must be signed when an adult with incapacity required healthcare
can be up to 3 years
what act is there in England which is similar to the adults with incapacity act?
mental capacity act 2005
what GDC standard does obtaining valid consent fall under?
GDC STANDARD 3
when must consent be written for dental procedures?
GA and sedation
what needs to show in the records when gaining consent for a dental tx?
clinical findings and diagnosis
advice given
nature of procedure
benefits/ risks/ foreseeable complications
alternatives
costs and extended costs
discussion about tx and the pt decision
what may failure to warn lead to?
negligence claim and GDC proceedings
what is the Prudent Patient Test?
a test for assessing whether valid consent was given prior to a procedure, based upon whether the pt received information about risks that a reasonably prudent pt would need to consider in making a treatment decision
