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Consent when circumstances change

Record #71 · Edit the content, source and classification relationships.

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Additional Insight #71

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Valid informed consent requires disclosure, comprehension, voluntary transaction and validation.
Capacity, adequate information and the ability to communicate the decision are central to consent.
Consent should be obtained for each procedure, even when procedures occur in the same operative setting.
If unexpected additional pathology is discovered during surgery, the source permits immediate treatment only where it is life-threatening; otherwise the planned procedure should be completed and the new finding discussed afterwards.
An adult lacking capacity is not made competent merely by obtaining agreement from relatives or carers: relatives and carers cannot give consent.
Necessary emergency treatment may proceed without a court order when there is insufficient time, with a second opinion where possible.
Some particularly serious decisions remain for the Court, including the source example of sterilisation of a young woman lacking capacity.
Exam insight: distinguish valid consent, altered operative circumstances, absent capacity and true emergency; each changes the decision pathway and they should not be treated as interchangeable exceptions to consent.

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Classification Relationships — through Subtopic3

2 assigned

Obstetrics and gynaecology→ Basic→ Clinical Management→ Clinical Practice→ Mediclegal→ Evidenced-base to Audit→ Consent

Obstetrics and gynaecology→ Basic→ Clinical Management→ Clinical Practice→ Mediclegal→ Evidenced-base to Audit→ Mental capacity

Consent when circumstances change

Additional Insight #71

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Classification Relationships — through Subtopic3

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