Consent

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Consent

  1. 1. CONSENT Datuk Dr. Ahmad Tajudin Jaafar
  2. 2. Consent to Treatment <ul><li>Legally a valid consent be obtained before doctor/AHP can start treatment for a patient. </li></ul><ul><li>Conflict between medical paternalism and patient autonomy. </li></ul>
  3. 3. Types of Consent <ul><li>Consent either express or implied. </li></ul><ul><li>To obtain a legally valid consent, these following elements must be satisfied: </li></ul>
  4. 4. Types of Consent <ul><li>Consent must be real </li></ul><ul><li>- sufficient information given to patient about treatment. </li></ul>
  5. 5. Types of Consent <ul><li>Capacity to consent </li></ul><ul><ul><li>not a problem by adult with sound mind. </li></ul></ul><ul><ul><li>problem with incompetent person. </li></ul></ul><ul><ul><li>incompetent include temporary unconscious, permanent unconscious through disease or injury. </li></ul></ul>
  6. 6. Types of Consent <ul><li>Incompetent adult patient </li></ul><ul><ul><li>No one can consent to medical treatment on behalf of an incompetent adult. </li></ul></ul><ul><ul><li>Patient above 18 years old age can give consent. :: except, if patients detained under Mental Health Act 1983: The act allow treatment such persons without their consent. </li></ul></ul><ul><li>Children </li></ul><ul><ul><li>Children under the age of majority need consent of their parents. </li></ul></ul>
  7. 7. Types of Consent <ul><li>Consent must be voluntary </li></ul><ul><ul><li>Must be given through patients own freewill, with no duress or undue influence. </li></ul></ul><ul><ul><li>Valid consent requires the absence of any coercion by the doctor or the medical staff. </li></ul></ul>
  8. 8. Doctrine of Informed Consent (DIC) <ul><li>Embodies the general principle that a person has the right to determine whether or not to undergo any medical procedure </li></ul>
  9. 9. Doctrine of Informed Consent (DIC) <ul><li>Sufficient information for patient to understand nature of proposed treatment, implication and risk and consequences of undergoing treatment. </li></ul>
  10. 10. Rationale of DIC <ul><li>Behind DIC is to promote individual autonomy. </li></ul><ul><li>The decision to undergo treatment is the patient. </li></ul><ul><li>Patients be given sufficient information to make good decision; self determination. </li></ul>

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