Consent Flashcards
Principle 3 of GDC standards?
3.1
1 - Must obtain VALID consent before starting tx every visit
- Document consent in note every visit
- Make sure they know everything about tx I.g tx plan, risks, benefits of tx
- Must check and document they understood.
- Patient can withdraw consent any time and refuse tx, explain consequences and risks in future and they
- Obtain separate written consent involves GA and sedation.
3.2 Principle
- Provide patient with sufficient time and information to make decision
- formation of information should be simple and easy to understand
- Help them to make decision by providing information by question and answers with parent/ carer / relative
- You must always consider where Pt are able to make decision about their care.
- Must check and document that patient have understood information.
3.3 principle
- Make sure pt consent remain valid at each stage of tx
- check and inform tx progress every visit
- Specific consent - what you are going to do during appointment
- pt understood information
- document the discussion and consent.
- if there is change in tx or cost , must obtain patient consent for change and document it .
Orthodontic Therapist consent
GDC OUTCOME (2011 updates 2023)
- Orthodontic therapist are able to take consent once they fully understand tx plan, risk benefits, alternative option including result of no tx.
- Orthdintist will make sure written consent given to OT with full understanding of tx plan, alternative options, risk and benefits including result of no tx.
- if OT doesn’t feel competent or full understand tx plan or during consent cannot answer , should discuss with orthodontist m.
What is principle of consent to tx?
Person must give their permission Prior to any type of treatment received.
To make a consent valid. What 3 factors need to be considered?
Factors of consent ?
VVIC
- Valid
- Voluntary - decision made by patient without any pressure
- informed- full information and tx plan, risks and benefits given to pt including no treatment option.
-Capacity- Pt must be capable of giving consent. Must understand full information I.g age , mental capacity.
What ways do patient consent?
Implied - Book appt and turn up, sit in chair
Expressed - Verbally or written express they happy to go ahead with tx.
Informed - signing consent form with all options risks, benefits, advantages disadvantages, given and letting them know or it’s inform consent.
Who can consent ?
- Anyone over age of 16 with mental capacity
- Under 16 if Gillick competent
- A parent of child
Gillick Competency 1985
- Lawful to provide Contraceptive advice and treatment to girl under 16 subject to certain guideline
- in certain circumstances a child under age of 16 could now give consent in their own right.
Fraser guidelines
1- girl with understand advice
2- professionals cannot persuade her to inform parents that seeking contraceptive advice
3- she is likely to begin or continue having sexual intercourse with ot without contraception
4- unless she receives contraceptive advice or tx her physical or mental health or both are likely suffer
5- her best interests require him to provide her contraceptive advice, tx both with or without parent consent.
Filling out consent form .
Provide all options of tx for best result including no tx
Benefits of treatment includes?
-Asthetic
- Function
- Preventing damage to other teeth
Orthodontic Risks
- Root Resorption
- Root resorptions -90% of fixed pt apical root resorption of 1-2 mm
- Pipette shaped or blunt roots
- teeth Previously involved in trauma
-GINGIVITS
- Diffuculty in cleaning due to fixed/ removable apliances present
- Nearly All patient have gingivitis during tx
- May result in increase gingival inflammation.
- Periodontitis
- Patient are predisposed if previous periodontal disease existed
- Reduced access for cleansing when fixed appliances are fitted
- Poor OH may cause apical migration of periodontal attachment and alveolar bony support.
- Trauma suspectible
