Consent, Capacity and Refusal of Care - Pretest
1) What are the elements of an informed consent?
Decision-Making Capacity, Disclosure, Understanding, Voluntariness
2) What are the potential legal consequences of proceeding with an investigation or intervention without a patient's consent?
Civil liability for assault and/or battery
3) What is the bioethical principle that serves as the foundation for the concept of informed consent?
Respect of Autonomy
4) What are the elements of decision-making capacity?
Knowledge of options, aware of consequences of choice, consistency between values and choice
5) How do you decide which risks to discuss with a patient when obtaining informed consent?
Common risks, significant risks, risks a reasonable patient in a similar situation would want to know
6) What factors must be present for a physician to proceed with treatment under the emergency exception to consent?
Risk to life or limb, no advance directive, substitute decision-maker not available, reasonable patient would consent
7) At what age is a paediatric patient allowed to make a medical treatment decision for themselves?
Trick questions - presumed capable at 18 - no single age - some provinces have a lower age limit below which patient can not consent
Mature minor concept applies - if patient meets DMC criteria (K, A, CV) they can consent to treatment/investigation for the most part