Objective 4 Flashcards
Individuals are able to exercise their rights to
determine what happens to their bodies and what
interventions they authorize, including nursing care
Individuals are in control of their care and make
decision about what is most important
Happens when a person gives permission to a health
care professional to follow through on a proposed plan
of care
consent
what are the types of consent?
implied
verbal or written
emergency
Consent is simpler, straightforward. The
interventions proposed are of low risk and have a high certainty
of success
implied consent
More invasive procedures that
require a more comprehensive consent process. The individual is
provided with the necessary information to authorize or decline
the options presented to them. Most times the client will either
agree or disagree
verbal or written consent
When there is no other information
available to the team members, they are morally and legally
supported to act in the clients best interests and do what any
person would reasonably do in that circumstance
emergency consent
in health
care refers to a formal process by
which patients are actively engaged
in making decisions about their care
informed consent
what are the components of informed consent?
Be voluntary and genuine
Be given with the knowledge the
agreeing to treatment is not
consent
Be specific
Specify the person providing
treatment
Be obtained by the person
providing treatment
Be given a capable client
Be given by a mentally competent
client
Legal in Canada since June 2016.
Each province and territory has
outlined specific processes and
obligations for those seeking
assistance in dying
Each province will have details of
scope of practice for health care
workers involved in this process
MAID
have been modified by
statutory provisions that vary between
provinces and territories.
Nurses should be aware of the consent
laws in the jurisdiction of their practice
to avoid legal entanglements
Statutes that deal with persons without
legal capacity to make decisions; for
example, adult guardianship, mental
illness, substitute decision making,
health care directives, powers of
attorney, and care facility legislation.
consent laws
All healthcare institutions must give patients an
opportunity to determine what lifesaving or life-
prolonging measures they want implemented.
Gives a person an opportunity to make decisions
regarding healthcare before need for treatment
occurs.
advanced directives
A person is always presumed to be capable
unless a health care professional has reasonable
grounds to believe that he or she is not.
Ex: A HCP cannot assume that a patient is
capable if they observe erratic or confused
behaviour or lack of lucidity or rationality in the
patient.
Capacity can vary over time
The health care professional in charge of the
patient’s care is responsible for determining
whether the patient is capable or incapable of
consenting to a proposed treatment.
competency
Individual who is authorized to give or
refuse consent to treatment or care on
behalf of an incapable individual
The Health Care Consent Act establishes
a hierarchy of alternative substitute
decision makers.
The persons set out in this list may give
or refuse consent if no person described
in the next higher ranking is available
and meets the requirements of the Act
substitute decision makers
