Consent and capacity — considerations for the dental team part 1: consent and assessment of capacity

Burke, Suzanne; Kwasnicki, Andrew; Thompson, Shelagh; Park, Tom; Macpherson, Avril

doi:10.12968/denu.2017.44.7.660

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…There are key similarities and common principles between the differing legislations, but also subtle differences that can impact who ultimately decides on or consents for any treatment proposed. A comprehensive review, specific to dental care, is available elsewhere 3,4 and details the specific impacts of legislation in each of the devolved nations of the uK. A requirement of the Mental Capacity Act, 5 (england and Wales), is the need to assess capacity.…”

Section: Mental Capacitymentioning

confidence: 99%

The Impact of Dementia on Oral Health and Dental Care, Part 2: Approaching and Planning Treatment

2020

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Dementia has been described as the biggest health and social care challenge of this century; its impact on dental care cannot be ignored. Dementia affects cognitive ability and decision making, so it is important that oral healthcare professionals are conversant with current mental capacity legislation and issues that may be raised when treatment planning for patients living with the condition. This second article in the series considers the impact of dementia on dental care provision and covers a range of issues which are relevant to both general and specialist practice. These include assessment of capacity, use of different treatment modalities, such as sedation and general anaesthesia, and the factors that may be relevant when deciding to offer treatment or to refer to a secondary care setting for dental treatment. Advanced care planning is detailed to support general dental practitioners considering the longer-term wishes of their patients with an early diagnosis of dementia.

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Section: Mental Capacitymentioning

confidence: 99%

The Impact of Dementia on Oral Health and Dental Care, Part 2: Approaching and Planning Treatment

2020

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“…It must be based upon adequate knowledge of the purpose, nature, likely effects and risks of that treatment, including the likelihood of its success, and a discussion of any alternative option. 4,17,18 Consent is the final outcome of a two-way communication process between the OHP and the patient. Additionally, there may be third party involvement with a parent or guardian (a tripartite relationship), which is commonly the case in orthodontics.…”

Section: Consentmentioning

confidence: 99%

Valid consent and orthodontic treatment

Meade

Weston²,

Dreyer

2019

Australasian Orthodontic Journal

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Valid patient consent is a legal and ethical principle that is fundamental to healthcare provision. Oral health practitioners (OHPs) must understand the principles that need to be addressed to ensure that the consent given by a patient is valid. Failure to obtain consent may result in a negligence claim or a complaint of professional misconduct against the OHP. Orthodontic treatment is mostly elective but is not without risk to the patient. Obtaining and maintaining valid consent for orthodontic treatment presents additional challenges in comparison with other dental procedures as the treatment lasts over a longer time and is most commonly performed in adolescents. In addition, prospective patients need to be informed regarding 'lifelong' management in the retention phase to minimise the risk of relapse. The present paper outlines the principles of valid consent with particular regard to orthodontic treatment in the adolescent patient. OHPs must ensure that they are satisfied that the competent patient has the capacity to voluntarily consent. Clinicians must also recognise that valid consent is not a one-off 'tick the box' procedural exercise but an ongoing process of effective information sharing in light of changing laws and an ever-changing scientific evidence base within a patient-centred model of healthcare.

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“…The Mental Capacity Act 22 or other regional legislation provides a framework for determining whether a patient has capacity to consent for particular healthcare decisions; this process is well detailed elsewhere. 23,24…”

Section: Consent and Mental Capacitymentioning

confidence: 99%

A guide to treatment planning in complex older adults

Geddis-Regan

Walton

2018

Br Dent J

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There are a growing number of older patients who are retaining their natural teeth. Though the majority of these patients remain independent, many are affected by frailty, multi-morbidity or dementia. The complexities associated with dementia have led to guidelines being produced by the FGDP, Dementia friendly dentistry, although other features of ageing can similarly increase the risk of dental disease and the consequent complexity, safety and suitability of providing treatment. Prevention of dental disease is crucial for older patients as the features of ageing may make the risk of treatment greater than that of younger patients. Conscious sedation or general anaesthesia, typically provided by a specialist dental service, may be required to facilitate treatment, though these approaches may have significant short and long-term impacts on older patients. Clinical guidelines and legislation are available to assist in decision-making for patients who may lack mental capacity, yet for patients who are able to consent for treatment, a comprehensive discussion as part of an informed consent process remains crucial to determine the most appropriate approach to care provision.

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Consent and capacity — considerations for the dental team part 1: consent and assessment of capacity

Cited by 3 publications

References 3 publications

The Impact of Dementia on Oral Health and Dental Care, Part 2: Approaching and Planning Treatment

The Impact of Dementia on Oral Health and Dental Care, Part 2: Approaching and Planning Treatment

Valid consent and orthodontic treatment

A guide to treatment planning in complex older adults

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