Special Care - adults with incapacity Flashcards

1
Q

What does the AWI act 2000 aim to do?

A

safeguard welfare and manage finance in adults who lack capacity due to MI, Learning disability or inability to communicate

Also encourages AWI to make decisions as far as they can do so

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2
Q

What is incapacity?

A

The inability for someone > 16 y/o to opt into legally binding contracts.

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3
Q

what makes someone incapable? (5)

A

Inability to act

Inability to make a decision

Inability to communicate their decision

Inability to retain memory of their decision

Inability to understand the information required to make a decision

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4
Q

How do we assess capacity? (5)

A

Be able to act

Be able to make their decision

Be able to understand their decision
- what is it, risks/benefits, alternatives, for them only.

be able to communicate their decision in a way that both parties understand

be able to retain memory of their decision for > 24 hours

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5
Q

What are the 5 principles of the AWI 2000 act?

A

Must benefit the individual

Must have minimum necessary intervention and be the least restrictive

must take into account the adults wishes

consult with relevant others

encourage the adult to exercise what capacity they have

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6
Q

Describe what a welfare power of attorney is?

A

an individual who is granted the role of making decisions for an individual once they lose capacity.

This is legally established by a lawyer whilst the individual still maintains capacity

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7
Q

What is a continuing attorney?

A

n individual who is granted the role of making decisions regarding financial affairs only for an individual once they lose capacity.

  • best to have the same person as a welfare and a continuing attorney.
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8
Q

What is a guardianship order?

A

when the court appoints a person to make decisions for an individual (>16) who has never had the capacity to consent i.e. parents of downs syndrome children > 16 y/o

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9
Q

Who can consent for dental treatment?

A

Patients with capacity

welfare powers of attorney

welfare guardians

medical and dental practitioners.
- only if dental practitioner has has specific training

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10
Q

What is general authority to treat? (2)

A

you can treat without consent in;

incapable patients if they have a certificate of incapacity and the principles of the AWI are observed and recorded in the notes

or

in an emergency

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11
Q

What is a dental emergency?

A

Spreading dental infection

large bleed

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12
Q

What must we do if we need an AWI section 47 form abut we are not trained to provide one?

A

Liaise with the patients GP

- ensure you inform the GP of what treatment you aim to do

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