Week 3 - Consent Flashcards
Groups of individuals who may face increased risks, limitations, or challenges inexercising their autonomy and providing informed consent. Vulnerable populations can include minors, individuals with cognitive impairments, those with limited English proficiency, or individuals in marginalised or disadvantaged circumstances.
Vulnerable Populations
The act of using threats, manipulation, or undue influence to pressure someone into making a decision against their will or best interests. Coercion undermines the voluntary nature of consent and is considered unethical in the healthcare context.
Coercion
Consent given by a patient without coercion, undue influence, or external pressure. It demonstrates that the patient’s decision is made willingly and without any formof manipulation.
Voluntary Agreement
The process by which a healthcare provider ensures that a patient has been provided with relevant information about a medical procedure, treatment, or research study, including its purpose, potential risks and benefits, available alternatives, and any associated costs
Informed Consent
An approach that involves healthcare providers and patients workingcollaboratively to make decisions about the patient’s healthcare. It recognises the importance of combining medical expertise with the patient’s values, preferences, and goals to reach mutually agreed-upon treatment plans.
Shared Decision Making
The viable options available to a patient besides the proposed medical procedureor treatment. Providing information about alternative treatments allows patientsto consider different approaches and make an informed decision that aligns withtheir preferences
Alternative Treatments
The process of accurately and comprehensively recording the informed consentprocess in the patient’s medical records. It includes documenting the discussions held, information provided, patient questions or concerns addressed, and the patient’s agreement or refusal of the proposed treatment or procedure. Consent documentation serves as legal documentation and a means to ensure accountability
Consent Documentation
Consent that is inferred or assumed based on the patient’s behavior orcircumstances. For example, a patient extending their arm for a blood draw is an indication of implied consent.
Implied Consent
The ability of an individual to understand and process information relevant tomaking a decision about their healthcare. Capacity assessment involves evaluating a patient’s ability to comprehend the nature and consequences of a medical intervention and weigh the available options to make an informed decision
Capacity
The principle that emphasises a patient’s right to make independent decisions regarding their healthcare. It recognises the individual’s freedom to choose or refuse medical treatments or procedures based on personal values, beliefs, and preferences
Patient Autonomy
Types of consent
Implied (circumstance)
Explicit (verbal/written)
Patients should feel free to accept or decline a proposed treatment or procedure
Voluntariness
Legal and ethical duty to provide competent care to their patients. Encompasses providing care that meets the standard expected in their profession
Duty of care
Negligence which occurs when a nurse fails to fulfil their duty of care. Eg providing substandard care, omitting necessary actions
Breach of Duty
Establishing a direct link between the breach of duty and the harm suffered by the patient
Causation