5. Consent given by the patient
based on knowledge of the procedure
to be performed,
including its risks and benefits,
as well as alternatives to the proposed
treatment.
What is “INFORMED Consent”?
6. -- is no longer an option.
It is now a must under the
current guidelines &
regulations
INFORMED Consent
10. Elderly patients are particularly vulnerable in the
informed consent process.
• Medical conditions: Impairs cognition
e.g.hearing loss, vision loss
• Social Factors: physical dependency,
financial impoverishment,
restricted health care resources
and family pressures
14. The Process of Consent:
• Choose the right environment and location
• Involve multiple health care personnel –
surgeon, physician, anesthetist, cardiologist etc
• Include all family members in the process
15. Consent Process Plan
Decide where consent discussion will be held
• Conduct it in a quiet area
• Patient and attenders
should have adequate
uninterrupted time
Provide space for family members or friends to
be present during the consent discussion
16. Consent Process Plan
Provide adequate time to explain the surgery
procedure to the attenders
• Draw a visual description of the procedure
• Use patient education tools / brochures to
assist in discussion
• Explain the responsibilities of the attenders—
get them over to your side
17. Consent Process Plan
Provide adequate time for patient/attenders to read
and consider
- No undue influence or coercion
- Allow them to discuss with families or friends
Provide time for questions to be answered about
morbidity and mortality and alternative treatments
18. Summary for Consent for surgery
Benefits
Contact
Purpose Risks
Alternative Confidentiality Costs
Voluntary
20. A good consent form:
Complete information
Accurate information
In compliance with regulations and
guidelines
Short simple sentences
Simple understandable language
Culturally sensitive language
21. Common Findings:
Too long consent form
Too complicated language
Not all the complications are mentioned
Alternative treatments not given
22. Common Findings:
• Surgical procedures are not accurately described
• Benefits of the operation are over-stated
• Risks are not completely mentioned
25. Take home message
Take a proper informed consent
Get the attenders to your side
Explain all the pros and cons of the surgery planned
Inform the progress of the patient pre, intra and post op
Do not perform heroic surgery on the elderly