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    Patient C must provide informed consent to dialysis and have the capacity to make that decision herself. Capacity involves understanding treatment options and consequences and making an informed choice. Those under 16 may have capacity depending on the decision. When someone lacks capacity, past decisions or views of relatives can guide treatment under the Adults with Incapacity Act 2000. Confidentiality is important for trust in doctors but can be broken with consent or if legally required for public interest reasons like preventing crime or by court order.

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    Introduction to Medical Ethics Notes

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    Patient C must provide informed consent to dialysis and have the capacity to make that decision herself. Capacity involves understanding treatment options and consequences and making an informed choice. Those under 16 may have capacity depending on the decision. When someone lacks capacity, past decisions or views of relatives can guide treatment under the Adults with Incapacity Act 2000. Confidentiality is important for trust in doctors but can be broken with consent or if legally required for public interest reasons like preventing crime or by court order.

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    33 views1 page

    Introduction To Medical Ethics Notes

    Uploaded by

    kingkumar5
    Patient C must provide informed consent to dialysis and have the capacity to make that decision herself. Capacity involves understanding treatment options and consequences and making an informed choice. Those under 16 may have capacity depending on the decision. When someone lacks capacity, past decisions or views of relatives can guide treatment under the Adults with Incapacity Act 2000. Confidentiality is important for trust in doctors but can be broken with consent or if legally required for public interest reasons like preventing crime or by court order.

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    Consent, Capacity & Confidentiality

    The consent must fulfil three criteria: it must be voluntary, it must be informed and must be
    made by a patient who has capacity to make a decision in question. With the case of Patient
    C, it comes down to her being informed about how it will affect her lifestyle and how her life
    will change based on dialysis and then assessing whether she is fit to make this decision for
    herself

    Capacity is generally presumed unless the patient is unable to understand the treatment, its
    benefits, risks and any alternatives as well as the consequences of not receiving the
    treatment. Be able to retain the information for long enough that you can weigh up all
    information, make a (now) informed decision and communicate that decision.
    It is presumed that over 16 years old you have capacity, however under 16 you can
    sometimes have the capacity to make a decision.

    Perhaps the sanctitiy of life is still absolute and that no matter what we should consider life
    above all. The relatives and others concerned should be taken into account when making
    decisions (eg C’s 3 daughters when she refused treatment)

    Refusing treatment =/= asking for an assisted death

    Incapacity
    When someone is unconscious, due to precedent set out in common law, a doctor can take
    the actions to save the person’s life (after an accident)
    Adults with incapacity Act 2000 can be used to provide ongoing treatments when someone
    lacks capacity.
    Make sure ot consider the patient’s past decisions or any known views as well as consulting
    any relatives, proxies etc.

    Confidentiality
    A patient have the right to privacy and without confidentiality the patient would lack trust in
    the doctors and not entrust them with their treatment. Patients need to confide in doctors
    for treatment to be appropriate.
    However, the patient can give consent to break confidentiality, sometimes you’re legally
    required for example in the recent Ebola outbreak. It can also be justified as in the public
    interest eg suspected serious criminal activity, and if ordered by a judge in a court to reveal
    details

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