Legal aspects Flashcards
What is consent?
Permission to undergo a specific activity such as medical treatment and surgery
What determines the validity of consent?
If the consenting individual has capacity
What is capacity?
The ability to enter into valid contracts
Describe the assessment of incapacity
Is the patient able to do all of the following?
- Understand the information
- Retain the information
- Weigh-up the benefits and risks
- Communicate their decision
If yes ➔ patient has capacity
If no ➔ patient does not have capacity
Define ‘presumption of capacity’ as outlined in the Mental Capacity Act 2005
A person (18+) is assumed to have capacity until established otherwise
What is informed consent?
Consent provided that both the following are supplied:
- Sufficient information on all of:
- Diagnosis
- Prognosis
- Treatment options
- Risks
- Adequate time to assess the information
Name the two types of consent
- Implied consent: cooperation or no objection
- Expressed consent: explicit permission
What are advance statements?
Preferences made during a time of greater capacity
For use in situations when capacity is lost
Typically produced for chronic progressive illnesses
What is the difference between an advance decision and an advanced statement?
- Advance decision:
- Refusal of a specific type of treatment in the future eg. DNACPR
- Legally binding
- Advanced statement
- Preference of treatment in the future
- Not legally binding
- Should be considered when making treatment decisions
What makes an advanced decision legally binding?
- Written by the patient
- Signed by the patient
- Signed by a witness eg. Solicitor
- Expressed statement that decision stands ‘even if life is at risk’
What are Lasting Powers of Attorney (LPA)?
- The appointment of an attorney
- To make health and welfare decisions
- Should the patient lose capacity in the future
What is the Mental Capacity Act 2005?
Legislation governing the care and treatment of people lacking capacity
Outline the five key principles in Section 1 of the Mental Capacity Act 2005
- Presumption of capacity
- All practical steps taken to allow autonomy
- Allow unwise decisions
- Operate in best interests if lack capacity
- Least restrictive option
What is Section 5 of the Mental Capacity Act 2005?
Protection from liability when providing care and treatment to an incapacitated adult
- Authorised healthcare workers can care and treat
- In the best interest of the incapacitate patient
- Without fear of liability
- eg. Physical restraint and trespass
What are Deprivation of Liberty Safeguards?
Legislations governing the deprivation of liberty of people lacking capacity
An accompanying piece to the MCA 2005