L12: Safeguarding Patient Rights Flashcards
What are the 5 things that are important in the mental capacity act
1) assume someone has capacity
2) assist practical steps to assist in decision making e.g if someone cannot hear, see or talk
3) people are allowed to make unwise decision
4) if we make decision is has to be in the best interest
5) decision taken by us has to be least restrictive to persons right and freedom
What are the 2 tests we carry out to access capacity
1) diagnostic test
2) test of capacity
When we carry a diagnostic test what is the things we consider
Disorder of the brain
Does it influence decision making
Is it recoverable
It is urgent that you cannot wait
For someone to have capacity what do they need to do
Understand
Retain the information
Weight up
communicate back
If a patient lacks capacity can the family have a say in the patients treatment
No unless they have power of attorney
What are the 2 condition groups that lack capacity
Acute e.g car crash
Chronic long disease
What are the situations someone can lack capacity
Anaesthesia Neurological disease Dementia Motor neurone disease Learning/intellectual disability
What is a doctonne of necessity
If you are saving someone’s life you just do what is required as a best interest
What is lasting power attorney
If a person loses capacity they have legally assigned someone to talk on their behalf of what the patient would of wanted
What is an advanced descison to refuse treatment (ADRT)
A statement from the patient to say that they are refusing a treatment if the patient loses capacity
What does the court of protection do if its hard to access someone’s capacity
Decide for the patient
What does the document for advanced decision to refuse treatment be
Written or verbal
Signed
Witnessed
Contain a statement that says it applies if the persons life is at risk
