Facts & Figures · Review / Edit

Clinical Practice: Consent, capacity and patient autonomy

Record #95 · Edit the content, source and classification relationships.

Previous Next

SQL status generated

Candidate visibility Not candidate-visible

Classifications 2

Facts & Figures #95 — Edit

Title

Content

Informed consent comprises four elements: disclosure, comprehension, voluntary transaction and validation.
Validation involves a signed written consent form; consent should be obtained for each procedure even when procedures occur in the same setting.
The three principal components considered in clinical consent are capacity, information and communication.
Implied consent may arise from behaviour such as attending a clinical appointment; verbal consent may be used for basic procedures such as blood investigations or cervical smear.
For major procedures, particularly where there is significant risk to the woman or baby, written consent is required.
If unexpected additional pathology is found during an operation, it should be treated during that operation only when life-threatening; otherwise the planned operation should be completed and the new finding discussed subsequently.
Under the Mental Capacity Act 2005 framework described in the source, every possible step should first be taken to establish whether the adult has capacity for the particular decision.
Relatives and carers cannot provide consent on behalf of an adult who lacks capacity.
Emergency treatment may proceed without a court order when necessary; a second opinion should be obtained where possible.
The source distinguishes sterilisation of a young woman lacking capacity, which requires a Court decision, from hysterectomy for menorrhagia in an adult woman lacking capacity, for which it describes use of consent form 4 when treatment is demonstrably in her best interests.

Status

Currently stored

generated

Source

Section

Locator

Notes

Back to list

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

Clinical Practice: Consent, capacity and patient autonomy

Facts & Figures #95 — Edit

Source

Classification Relationships — through Subtopic3

Related Questions (11)