Legal

Question 1

What two things must consent be

Answer 1

Valid and legal

Question 1

Capacity (4)

Answer 1

1. Make a reasoned decision
2. Communicate the decision
3. Understand the decision
4. Retain memory of the decision

Question 2

Principles of legal consent (3)

Answer 2

1. Ability
2. Informed
3. Voluntary

Question 3

Principles of valid consent (2)

Answer 3

1. Ongoing
2. Patient still agrees

Question 4

Principles of negligence (4)

Answer 4

1. Dentist owes a duty of care
2. Duty of care breached (standard of care)
3. Breach caused or materially contributed to damage (causation)
4. Damage was reasonably foreseeable and had negative consequences

Question 5

Principles of AWI act (5)

Answer 5

1. Benefit
2. Minimum necessary intervention
3. Take account of the wishes of the adult
4. Consultation with relevant others
5. Encourage ‘residual capacity’

Question 6

Assessing capacity (4)

Answer 6

1. Keep language appropriate
2. Break up information into segments
3. Ask patient to explain to you what you have discussed
4. Assess retention - ask at another visit

Question 7

Welfare Power of Attorney (2)

Answer 7

Powers come into effect when the adult becomes incapable
Welfare power of attorney document must be seen and entered into dental notes

Question 8

Continuing Power of Attorney

Answer 8

Only covers financial affairs and property

Question 9

Who can consent to treatment (4)

Answer 9

1. Patients with capacity
2. Welfare powers of attorney
3. Welfare guardians
4. Dentists with special training (under section 47 of AWI act)

Question 10

Can treatment be given if an adult does not have capacity or a proxy?

Answer 10

Yes if valid certificate of incapacity issued for treatment
AND
Principles of the AWI act are followed

Question 11

What acts apply to disabled people in dental care (2)

Answer 11

Discrimination Act
Equality Act

Question 12

What is the primary aim of an audit

Answer 12

To ensure healthcare standards are being met - Improve healthcare

Question 13

Complaints Standards (3)

Answer 13

1. Ensure there is an effective complaints procedure readily available for patients to use and follow it at all times
2. Respect a patients right to complain
3. Give complaints a prompt and constructive response

Question 14

What is the primary aim of an audit

Answer 14

To ensure healthcare standards are being met - Improve healthcare

Question 15

Who can consent on behalf of the child (3)

Answer 15

Mother automatically
Dad if named on birth certificate or married to mum
These rights kept after divorce

Question 16

What should be discussed with patient before consent can be gained (6)

Answer 16

1. Treatment options
2. Risks and benefits of each
3. Likely prognosis
4. Recommended option
5. What may happen if treatment isn’t carried out
6. Material risks

Question 17

When is consent not required (2)

Answer 17

Emergency situation where consent cannot be obtained
Adults with incapacity under certain conditions

Question 18

What is a guideline

Answer 18

Systematically developed statement to assist practitioners and patients to make decisions about appropriate health care for specific circumstances

Question 19

What is an act

Answer 19

A piece of legislation that is the law

Question 20

What are regulations

Answer 20

Supplementary to acts
Formal guidelines

Question 21

What is a standard

Answer 21

Definable measure against which existing structure, processes or outcomes can be compared