What is an impairment
-Any loss or abnormality of psychological, physiological, or anatomical structure or function
-Considered to occur at the level of the organ or system function
What is disability
- Any restriction or lack of ability (resulting from an impairment) to perform an activity in the manner or within the range considered normal for a human being
- Disability is concerned with functional performance or activity, affecting the whole person
- It is activity restricted by impairment
What is handicap
- A disadvantage for a given individual, resulting from an impairment or a disability, that limits or prevents the fulfilment of a role that is normal (depending on age, sex, and social and cultural factors) for that individual
What makes consent valid
Voluntary
Informed
Capacity
When was the adults with incapacity act passed
2000
What are the 5 key principles of the adults with incapacity act
Benefit
Least restrictive of freedom
Person’s past and present wishes taken into account
Consult relevant others
Encourage residual capacity
What are the 3 types of proxy
Power of attorney
Guardian
Intervener
What is a proxy
Someone who has been authorised to act on behalf of an adult with incapacity
What is a power of attorney
- Granted by the adult whilst he/she still has capacity
- Certified by lawyer or medical practitioner
- Continuing power of attorney – only covers financial affairs and property
- Welfare power of attorney – matters relating to health and personal welfare
- Joint power of attorney – covers both continuing and welfare powers
What is a guardian
- Court appointed
- Require 2 medical reports
- Powers to deal with property, finance and health matters
- Time limited
Who can consent for dental treatment
Patients with capacity
Welfare power of attorneys
Welfare guardians
Medical and dental practitioners who have undergone further training
What are the 5 domains to overcome barriers
Availability
Accessibility
Accommodation
Acceptability
Affordability
