MCA Flashcards
What does it stand for?
What countries does it apply to? - 2
Mental Capacity Act - outlines principles of mental capacity and people’s ability to consent for Rx
England and Wales
5 principles of MCA - MUST KNOW!!!
People are assumed to have the capacity.
Health professionals should support decision making as much as possible by providing information.
Decisions should be made in the patient’s best interests
Use the least restrictive method possible for treating them
Respect unwise decisions - they are not evidence of lack of capacity
Who does it apply to?
16 and older whose capacity is unclear
How do you assess capacity?
Ability to understand
Retain
Weigh up the options
Convery ideas about Rx
When can restraint be used to give Rx?
If the lack of Rx would cause serious harm
DoLS:
What does it stand for?
What does it allow?
Who does it tend to apply to?
Deprivation of Liberty Safeguards
The patient can be detained
The patient’s undergoing long term care - dementia, care homes
How to manage threatening behaviour:
1st step
2nd step - 3
De-escalation - pay attention to what has upset.angered the patient
Rapid tranquillisation, physical intervention and seclusion should be CONSIDERED
How to manage threatening behaviour:
Rapid tranquillisation:
- How is it given first?
- What if they refuse?
- What is given if it simply a behavioural disturbance?
- What is given if psychosis present?
PO
IM
Lorazepam PO or IM
Haloperidol
Advance Care Planning:
What does it allow you to do?
Advance Statement:
2 forms
Is it legally binding?
Allows individuals to make decisions in advance about the care the would like the event of them lacking capacity.
A verbal or written statement
Not legally binding on doctors, but should be taken into account
ARDT:
What does it stand for?
What is the difference between this and an advanced statement?
Is it legally binding?
Advance decision to refuse treatment
Can say in advance that you refuse life-sustaining treatment, which must be written, signed, witnessed, and contain the words ‘even if life is at risk.’
Only if valid and applicable to a case
Lasting power of attorney:
What does it allow?
What are the 2 separate forms that can be completed?
It needs to be registered with the OPG. What does it stand for?
Who can be contacted if you feel the donee is not making decisions in the patient’s best interest? - 2
Somone to make decisions on your behalf, in your best interests, if/when you lack capacity.
LPA for health and welfare
LPA for property and financial issues
Office of the Public Guardian
OPG or Court of protection to potentially overrule
