Key definitions of consent Flashcards
Informed consent
pts much be given full info about the trt offered to be able to make an informed decision as to whether they wish to proceed or not they must be informed of:
1.
the nature of the trt (e.g filling, crown, extraction)
2.
the purpose of the trt (e.g. restore function, alleviate pain, remove infection)
3.
the risks of the trt (what can go wrong + further trt that may be required)
4.
the consequences of not having the trt (effect on oral + general health) as well as the risks and benefits of alternative trt available
5.
longevity of success - will further trt be required in weeks/months or not for years if at all
6.
the cost of the trt whether NHS or private
7.
the info must be given in a way the pt understands + could involve visual aids, an interpreter, or sign lang
pts must have all questions answered in a way that is understandable without dental terminology if its not appropriate
Specific consent
the consent gained expressly for each stage of trt, + not just consent assumed to be for a full COT without pt being aware of whats involved at each stage.
1.
Thus, in case of symptomatic factored tooth that is to be restored initially with a filling, but which may require endodontic trt, + then restored with a crown within 6 months, the pt must be given specific consent for each stage before it is carried out
Valid consent
for consent to be considered valid it must be: informed, specific + given to pt or their parent/guardian (if too young to give informed consent)
Consent doesn’t have to be given in writing
especially for minimal procedures, but for more complicated trt plans + conscious sedation - a signed consent form is appropriate. oral consent is adequate otherwise
The dentists duty
to obtain the consent from pt
