Consent, Substitute Decision-Making amp; Advance Care Planning同意，替代决策amp；预先护理计划.ppt

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Consent, Substitute Decision-Making amp; Advance Care Planning同意，替代决策amp；预先护理计划.ppt

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Consent,SubstituteDecision-Makingamp;amp;AdvanceCarePlanning同意，替代决策amp;amp；预先护理计划.ppt

July 2009 Appendix 23 Staff Education Chronic and Complex Care Project in Nursing Homes, Prince of Wales Hospital Aims for session Valid Consent To obtain a valid consent, practitioners must tell patients: the general nature and effects of the proposed treatment the risks associated with the proposed treatment the general nature, effects and risks associated with alternative treatments or no treatment Valid Consent (Con’t) Capacity Treatment Patient must be able to understand (capacity) If they are unable to consent, as they lack this capacity, there is a hierarchy of others who may provide substitute consent depending on the type of treatment Valid Consent (Continued) Valid Consent (Continued) Guardianship Act So if a person can’t consent Who can provide substitute consent? Person ResponsibleHierarchy Person Responsible Types of Treatment Urgent Minor Major Special Objections are covered also Urgent Minor Major Special Objections to non-urgent treatment Person Responsible unable? Guardianship Domains Guardians Can’t make decisions that are contrary to the law make a will or alter your will on your behalf vote or consent to marriage on your behalf override your objection to treatment. In those circumstances the treating practitioner must apply to the guardianship tribunal for consent to the treatment. Think about it Who would make healthcare decisions on your behalf if you were unable to? The person you want to make these decisions may not necessarily be above others in the hierarchy. If this is the case, you can appoint the person you prefer, as your Enduring Guardian (E/G) DISCUSS IT WITH THEM FIRST!!! Power of Attorney People who are appointed as a Power of Attorney and Enduring Power of Attorney are only authorised to make financial, real estate and stock market decisions. The authority does not extend to healthcare and lifestyle decisions. That appointed person is an Enduring Guardian (E/G). They may be appointed to do both, but there are 2 differ