PPD week

Question 1

What is article 2?

Answer 1

The right to live

Question 2

What is article 3?

Answer 2

The right to be free from inhuman and degrading treatment

Question 3

What is article 4?

Answer 3

Prohibition on slavery and enforced labour

Question 4

What is article 8?

Answer 4

The right to respect for privacy and family life

Question 5

What is article 12?

Answer 5

The right to marry and found a family

Question 6

What is article 14?

Answer 6

Right to enjoy freedom and rights without facing discrimination of sex, race, colour, language, religion, political opinion, birth or other status

Question 7

What are the duties of a doctor?

Answer 7

1. Knowledge, skills and performance
2. Safety and quality
3. Maintaining trust

Question 8

What are the 4 ways in which things go wrong?

Answer 8

1. Human error
2. Neglect
3. Poor performance
4. Misconduct

Question 9

How can human errors occur?

Answer 9

1. Communication issues
2. Judgement
3. Ommisions
4. Lapses
5. Violations

Question 10

What is neglect in relation to the duties of a doctor?

Answer 10

-Falling below an accepted standard of performance

ie Mid-staff scandal - pts left in dirty bed sheets, drinking water out of flower vases

Question 11

How can you tell if a dr/staff member is poorly performing?

Answer 11

• Attitude problem
• Rudeness
• Scruffiness
• Failure to learn from mistakes
• Actions affect patient’s care

Question 12

What are some examples of misconduct?

Answer 12

• deliberate harm
• fraud/theft
• improper relationships
• lack of condour ie hiding mistakes

Question 13

What questions needs to be asked to determine negligence?

Answer 13

• Was there a duty of care?
• Was there a breach in the duty of care?
• Did the patient come to any harm?
• Did the breach cause the harm?

Question 14

What is Bolam’s test?

Answer 14

-In any negligence case, would a group of reasonable doctors do the same?

Question 15

What is bolitho’s test?

Answer 15

-Would it be reasonable for a group of reasonable drs to do the same action as someone on trial for negligence?

Question 16

What does depriving someone of their liberty mean?

Answer 16

-Taking away someone’s (pt with a mental health disorder) freedom (in a carehome/hospital) as it’s in their best interests and needed to keep them safe when all other options are exhausted

Question 17

How can you identify when someone’s liberty has been taken away?

Answer 17

• When the pt is not making any decisions for themselves anymore
• when the pt is not allowed to leave
• when the pt is unable to return to home with friends/family

Question 18

When can DOLS be put in place?

Answer 18

• if its in the pts best interests and protects them from harm
• it’s proportionate response to the likelihood and seriousness of harm
• there is no other less restrictive alternative

Question 19

What are the principles of the mental capacity act?

Answer 19

• Individuals are presumed to have capacity
• All practical steps must be taken to support someone in decision making
• A person is not deemed to be lacking capacity if they make an unwise decision
• An action taken on behalf of a person must be in thier best interests
• Action taken must be the least restrictive of a person’s rights and freedom

Question 20

How do you assess someone’s capacity?

Answer 20

• Understand the information given to them
• Retain the information given to them long enough to make a decision
• Weigh up the information to make a decision
• Communicate their decision

Question 21

What is the representative called if someone is under Dols?

Answer 21

Independent mental capacity advocate

Question 22

How is Dols put in place?

Answer 22

The managing authority (hospital/carehome) need to apply to the local authority who will carry out an assessment to determine the risk to the pt and decide whether authorisation should be issued

Question 23

What criteria needs to be complete for authorisation of DOLS?

Answer 23

• The pt must lack capacity
• Pt must have a mental disorder
• All other management plans must have been attempted and exhausted
• A best interests assessment and mental health assessment must be completed
• dols is in the person’s best interest

Question 24

Definition of Dols?

Answer 24

-Deprivation of liberty that occurs when a person who lacks capacity to agree to the arrangements for necessary care or treatment is:
1. Under continuous/complete supervision
AND
2. is not free to leave (regardless of whether they want/attempt to)