Skip to main content


Showing posts with the label PCDG

Implied consent

You are about to check a patients Blood pressure. As you Reach the bedside and open your BP apparatus, the patient extends her arm to let you check her BP although you have not asked for a consent yet. What is the best next step Take verbal consent Check her BP without asking Comments   Asma Zafar A    Immo Mani Check without asking   Sarmad Mushtaq A   Nazia Tanveer B    Salma Sultan Obviously without asking   Valeed Ahmed Extending her arm when she sees a bp apparatus is implicit consent which obviates the need for an explicit consent. The other exceptions for explicit consent are emergency and neccessity (harm likely, competency in doubt)   Misbah Mustafa Means explicit consent should still be taken right?    Valeed Ahmed No. It is not needed.   Inam Ul Haque Masood Her extending the arm so that you can take blood pressure is a sign of consent and I believe that taking verbal consent is not mandatory

Competency of the mother to consent for children

A 25-year old woman developed postpartum psychosis. The newborn developed cyanosis due to congenital heart disease. The newborn needs cardiac surgery. Surgeon discussed the procedure with the mother. She understood the procedure. Can she give the consent ? Comments   Asma Zafar Yes   Immo Mani Yes   Annie Hassan No   Sarmad Mushtaq No   Valeed Ahmed The pre-requisites for consent are that the patient (or the other person in charge) must fully and clearly understand the condition and its treatment., be competent and agree to the consent voluntarily. As the patient understood everything, so she her consent is acceptable. One person may be competent for one decision and be incompetent for another one. In this case the patient is competent as she was able to understand the decision   Anam Najam logically correct laikin yaqeen nhi a raha :-/   Valeed Ahmed Please read the consent topic in oxford once more. There is a similar statement   Valeed Ahmed   Anam Najam Thanks :)

Legal capacity to consent

A 40-year old schizophrenic patient needs hernia repair. Surgeon discussed the procedure with the patient who understood the procedure. Can the patient give consent? Anam Najam yes Like · Reply · July 2 at 10:44pm Asma Zafar No Like · Reply · July 2 at 11:06pm Immo Mani Yes Like · Reply · July 3 at 12:39am Valeed Ahmed Yes, as already explained, if someone understands the procedure, agrees to it and be competent, he can give the consent Like · Reply · 2 · July 3 at 2:49pm Angel's Dua yes since he is in good state of health who can understand the procedure so he can also give consent