Informed consent

1. INFORMED CONSENT

2. INFORMEDCONSENT:
Informed consent is the process by which a
patient voluntarily confirms his/her willing
participation in an operation after having been
informed about all the aspects of the operation
that is its benefits, its prognosis and
complications
Informed consent must be in written form
and documented with patients signature and
date of consent

3. LEGALITY:
Autonomy: is the right patients have to make
decisions according to their beliefs or
preference
Competence: ability or capacity to make a
specific decision for oneself
Battery: application of force to a person’s body
without consent
 Negligence: Failure in duty of care

4. COMPONENTSOF
INFORMED CONSENT:
1.Competence
2.Disclosure
3.Understanding
4.Voluntariness
5.Consent

5. CAPACITYTOCONSENT:
To give informed consent, a person must have the capacity to
understand and communicate what they are agreeing to.
People who lack capacity:
1. Children
2. Mentally Incapable
3. Living Will
4. Pregnant Mother (baby)
5. Emergency Situations

6. CHECKLIST:
1. Name of operation
2. Nature of proposed treatment
3. What the operation involves
4. Other treatment options or alternatives
5. Potential complications
6. Risks of operation
7. Risks of no treatment

7. MODESOF CONSENT:
1. Implied Consent
The patient is presumed to minor operations e.g
x rays
2. Express written consent
all
Whenever possible , this should be obtained for
an
patients undergoing procedures involving an
or
esthetic complex treatments with significant risks
side effects, or as part of research.
cons
Written consent is not legal proof that adequate
ent was obtained at the time the document was
signed.

8. 3. Express verbal consent.
Should be obtained it is not possible to
get written consent and witnessed
an independent health
by
care
professional, and documented in the
notes accordingly, for simple
procedures with minimal risk of harm.
CONT’D:

9. SPECIALCONSIDERATIONS:
1. Emergencies
Treatment can be provided without consent where
a patient is experiencing a severe suffering, or
where delay in treatment would lead to serious harm
or death or consent can not be obtained from their
patient or their substitute decision maker.
NB: However, you must respect any valid advance
refusals that you know about or are drawn to your
attention.

10. 2. Mentally Incapable Patients
Assess patient’s competence to make
an informed decision.
If unable to decide, and provided they
comply, treatment may be instigated
that is judged to be in their best
interest.
CONT’D:

11. 3. Advanced Statements/ Living Will
A/S made by patients before loosing their capacity of
informed consent must be respected.
Provided:
-Decision is applicable to current situation
-No reason to believe that they may have changed their
decision.
*the known wishes of the patient should be take into
consideration if an A/S is unavailable.
CONT’D:

12. 4. Children
in
Under 16 – Parents or Guardians would see at the best of
terest of the child.
un
However, may give their own consent, if they are judged ti
derstand what is involved.
dec
Over 16 – regarded as young adults and have capacity to
ide.
*Age 6 - 15 can give assent. If child refuses that parent cannot force
participation
*Unlike adults if competent child refuses treatment , a person with
parental responsibility or a court may authorize treatment deemed in
the child’s best of interest.
*Emergencies applicable in same manner as an adult.
CONT’D:

13. 5. Pregnancy
The right to autonomy applies equally
to pregnant women. It includes the right
to refuse treatment that is intended to
benefit the unborn child.
CONT’D:

14. CONSEQUENCESOF FAILURE
TO OBTAINVALIDCONSENT:
Treatment without consent = BATTERY
Including NO consent or WRONG
procedure.
Treatment with poor or invalid consent =
NEGLIGENCE .
Including misinformation about diagnosis

15. MINDBENDER
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outside the box”.
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16. THANKYOU
Any Questions?