Showing posts with label PCDG. Show all posts
Showing posts with label PCDG. Show all posts

Tuesday, 5 July 2016

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


Immo Mani  Immo Mani Check without asking

Salma Sultan Salma Sultan Obviously without asking

Valeed Ahmed 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 Misbah Mustafa Means explicit consent should still be taken right?

Valeed Ahmed  Valeed Ahmed No. It is not needed.

Inam Ul Haque Masood 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 ?


Valeed Ahmed 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 Anam Najam logically correct laikin yaqeen nhi a raha :-/

Valeed Ahmed Valeed Ahmed Please read the consent topic in oxford once more. There is a similar statement

Anam Najam 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?

Valeed Ahmed

Valeed Ahmed Yes, as already explained, if someone understands the procedure, agrees to it and be competent, he can give the consent

Angel's Dua

Angel's Dua yes since he is in good state of health who can understand the procedure so he can also give consent

Monday, 4 July 2016

Symptoms that affect relationships with other people

Psychological Symptoms (delusions or over valued ideas)  that affect relationships with other people are broadly known as ? 

  • Persecutory 

  • Paranoid 

Answer. Paranaoid symptoms , the most common of which are persecutory. Other paranoid symptoms include grandeur, religious, jealusy etc. 

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