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Home | Principles of Surgery

Informed Consent

The law recognises that it is in the best interest for emergency treatment to go ahead if it is necessary to save a life or to prevent serious or permanent disability.

 

Consent

  • Process where patients understand and agree to treatment
  • Full discussion of disease, treatment, benefits, risks and alternative treatments
  • Verbal or written
  • Patients can change their mind / seek alternative opinions
  • Children: (1) Child able to consent if judged to be competent (2) otherwise parent or legal guardian can act on behalf (3) Child cannot refuse treatment
  • Adult: (1) Only the adult or (2) someone with power of attorney.  Relatives should be involved but cannot consent or withold consent on another individual's behalf.

Who should obtain consent?

  • Operating surgeon
  • Suitably qualified person who has knowledge of procedure and understanding of risks and benefits.
  • All complications with >1% risk should be discussed
  • Potentially life-threatening risks should be discussed
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