Capacity and Consent What is the definition of consent? Consent is permission for something to happen or agreement to do something consent is to give permission for something to happen What do you need for valid consent? Given freely without duress or coercion legally capable of consenting cover the intervention/procedure it must be informed it has to endure the time needed for treatment.  If a patient consents to treatment can they then change their mind? Yes, either before treatment or at any point during treatment.  What information do you have to portray to the patient when trying to get consent? What the treatment consists of the main beneficial effects, risks, and unwanted side effects of treatment. What sort of additional aids could you use in trying to obtain consent? Written/ visual aids translators’ friends/relatives time to reflect- especially if a large treatment What is capacity? Capacity is the ability to make a decision What is the capacity to consent like in delirium? A

An open-ended question is one that puts the least restrictions over the answer to a select option-list. For example, an open-ended question to assess the thoughts would be: What do you think about most often? You can already notice, it is impossible to ask an absolute-open ended question.  For the purpose of the Research Workshop, the College of Physicians and Surgeons states:  Open-ended questions elicit detailed responses and provide no preselected options. These types of questions are the hallmark of qualitative research.   Also, learn the advantages of open-ended questions. 

New: The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry  Authors : David M. Taylor, Fiona Gaughran, Toby Pillinger The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry provide an evidence-based and practical approach for psychiatric and general practitioners to screen, investigate, and manage common physical health conditions observed in persons with severe mental illness. The book bridges the gap between psychiatric and physical health care for the seriously mentally ill and is written by an extraordinary team of acknowledged professionals in medicine, surgery, pharmacy, dietetics, physiotherapy, and psychiatry. The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry cover the following:  Assessment and care guidelines for well over a hundred various medical and surgical presentations encountered often in persons with major mental illness. Physical health emergencies in the psychiatric context. Evidence-based m

Age Disorientation in Schizophrenia Age-disoriented patients are cognitively more impaired than their age-oriented counterparts. Whether the cognitive impairment is present to a greater degree premorbid among these patients, studies have not yet established this, but some data support this. Others have reported that rated school performance and grade-level do not distinguish age-disoriented from age-oriented subjects. Some have suggested that marked cognitive decline occurs following the first break.  Harvey et al. reported that age-related decline in mini-mental state examination scores is dramatically greater among age-disoriented schizophrenia patients than age-oriented subjects, consistent with more rapid deterioration. Examination of the specific PANSS items revealed that the age-disoriented group was consistently more delusional and more conceptually disorganized and showed increased stereotyped thinking, motor retardation, unusual thought content, disorientation, and poor attent

What are the advantages of open-ended questions? During the clinical assessment, open-ended questions are always preferred to close-ended questions. there are several advantages to the open-ended questions.  If you still don't know What are Open-Ended Questions? Open-ended questions allow patients to start talking about themselves and puts them at ease as they have the floor.  Allows you time to think and plan areas of questioning as you assess their style and content of the response. Allows a period of non-verbal response from interviewer; listening and facilitating.  >> Just slight info: To Have the floor means to have the right or opportunity to speak in a group, especially at a formal event or gathering.  Please, Dr. Dunstaple, your colleague has the floor. You'll have the opportunity to reply when he has finished speaking.