Informed Consent for Treatment Review Writing - Medical Science Assignment Help

Assignment Task

Task

Aim:

The aim of this paper is to highlight the issues related to informed consent for treatment in the community health context and provide a set of recommended procedures for informed consent for treatment for discussion by the sector. This document may then by used as the basis for organisations to develop their own policies and procedures.

Background:

Informed consent for treatment/intervention was identified by the VHA Clinical Governance in Community Health project as an area that required further development in community health as part of strengthening service quality. Failure to obtain informed consent for treatment/intervention in community health services has been identified in complaints to bodies such as VMIA and the Health Services Commissioner and represents a risk to clients and organisations.

Why informed consent for treatment?

• Ethical right of every individual to make decisions about their own body
• Legal protection against
• Claims of trespass (assault and battery) due to failure to obtain valid consent
• Claims of negligence due to consent given on the basis of inadequate information
• Improved outcome with client cooperation and understanding
• Provide a bottom up demand for evidence based information

Procedure for Informed Consent:

The following recommended procedure for informed consent for intervention is outlined below:

1) Provide Information and Discuss Options Prior to providing information on intervention options there is an expectation that there has been a discussion of the client’s goals. The staff member is then required to give a clear explanation regarding interventions options before a client can
make a decision. The information provided should include:

• The nature of the condition
•  Proposed Intervention
• Benefits and how likely those benefits are
• Disclosure of any likely material risk. A risk is material if:
• A reasonable person if warned of the risk would attach significance to the risk  practitioner should be aware that the patient/consumer if warned of the risk would attach significance to it
• Who will be involved?
• •ther Intervention options including the no intervention option
• Time
• Costs

To ensure a client understands the information a service provider should:

• • Use language the client understands
• •Allow the client to ask questions
• Repeat information when necessary
• Give the client time to make a decision
• Use a qualified interpreter when needed. The DHS Language Service Policy, 2005 requires as a minimum that clients who are not able to communicate though written or spoken English have access to information in their preferred language at critical points including when needing to give informed consent. Additional requirement include that language services are provided by qualified professionals and not family members, friends or carers

Record Evidence of Informed Consent:

Consent for routine assessment is implied by the attendance of the client at the appointment. Informed Consent is required for any additional interventions. Authorisation by the client to have an agreed intervention may take a variety of forms:expressed, implied, verbal, nonverbal or written.
Documentation of consent is evidence that the client has agreed to the intervention but does not prove the consent was

informed or valid. Additional evidence is required to demonstrate that the consent was informed and can be a summary of the information provided to the client or by a form indicating clearly the information that was given to the client on this occasion. While there is no legal requirement for consent to be documented, documentation enables service providers to demonstrate that the processes involved in obtaining informed consent have been followed.

Documentation of informed consent should include:

• Client identification
• Service provider who obtained consent
• Date of consent
• Diagnosis
• Intervention Options
• The benefits and risks
• The alternatives
• Time and costs
• The exact treatment to which the client is consenting
• The name of the service provider performing the intervention
• Notes about opportunity for clients to ask questions
• Client signature

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