informed consent lecture

clin skills

4 C’s

• capacity

• competency

• clarity

• voluntary patient consent

capacity

a persons ability to understand a condition/treatment

• are they alert/oriented

competency

legal standing to make hc decisions

clarity

pts must be provided clear and truthful info

what is informed consent

Permission granted with full knowledge of the possible consequences, risks, benefits and alternative treatments, which is given by a patient to a provider for treatment

informed consent

• Written or verbal
  • Written consent with signature is
  considered superior
  • Concrete evidence
  • Verbal —> routine office
  exam/procedure

implied consent

• Medical emergencies  consent is
  assumed
  • Assumption that no reasonable
  person would refuse intervention
  • Patient indicates by behavior that
  they accept the procedure

• give examples

required explanation

• Diagnosis, treatment, or procedure
• Use visual aids if needed
• Nature and purpose of the proposed treatment
• Risks, side effects, benefits, and expected outcomes
• Available alternative treatments (if any)
• They should understand their choices regardless of cost or insurance
coverage
• Risks of alternative treatments
• Risks involved if treatment is refused

t/f: Health care professionals have an obligation to use language that is at an appropriate level and to discuss the information when the client is in right frame of mind

true

barriers to informed consent

• anxiety/stress

• language/cultural

• health beliefs

• physical impairment

eligibility for consent

• 18 or must be emancipated

• ability to understand/remember info

• ability to decide treatment option

required consent

• treatment

• dissemination/discussion of pt info

• procedures

• surgery

• blood transfusions

• anesthesia