Consent Process
In elective cases, I ensure that the consent takes place in my consulting rooms in the week preceding the planned surgery. This is the most suitable environment for the informed consent process to take place, and allows for effective communication between me and my patients. Moreover, I encourage patients to be involve a family member as part of this process for support and re-enforcement of information. In Ms Smith’s case, the consent process occurred in my rooms at the Wesley Medical Centre on 1 July 2014, which was 8 days prior to the scheduled surgery on 9 July 2014. From memory, Ms Smith was accompanied by her husband/ partner at this consultation.
During my CGO sub-specialty training in 2006, I was introduced to the acronym …show more content…
A right cystectomy was the first course of action as the ultrasound and CT scan had confirmed that were was a dermoid cyst on the right ovary. However; I also advised Ms Smith that in cases such as hers, scans are not always conclusive and the surgeon must proceed on the basis of their intra-operative findings. The CT scan revealed a bulky left ovary, and there was a possibility that it could have been affected by a cyst as well. I also advised Ms Smith that in some cases a cyst may be so severe that an ovary must be removed; and this has been acknowledged in her complaint. Given Ms Smith’s young age, fertility preservation was a paramount consideration. Hence, I re-assured Ms Smith that I would try to be as conservative as possible; and the procedure I had envisaged would preserve her fertility, as only one ovary would be removed at most. The purpose of the Mirena IUD insertion was to regulate Ms Smith’s heavy periods. Ms Smith already had a Mirena IUD in place, for this reason, prior to my involvement in her …show more content…
The word unilateral appears twice because when I was completing the first line, I would have started to write unilateral, however I ran out of space and had to squeeze it into the margin. The consent form, as I have mentioned earlier, plays an essential role in the pre-surgery procedure verification process; hence to avoid any confusion, I wrote the word unilateral again more neatly in the line below. Transcribing the word term unilateral on the form was essential in Ms Smith’s case, because an over-arching aim of the surgery was to achieve resolution of her issues whilst keeping her fertility intact.
Ms Smith executed the form only after I had inserted the word unilateral clearly into the second line.
I realise that this form is a little untidy and given the uncertainty it now seems to creating, in future I will make sure to re-write a form that requires such
In elective cases, I ensure that the consent takes place in my consulting rooms in the week preceding the planned surgery. This is the most suitable environment for the informed consent process to take place, and allows for effective communication between me and my patients. Moreover, I encourage patients to be involve a family member as part of this process for support and re-enforcement of information. In Ms Smith’s case, the consent process occurred in my rooms at the Wesley Medical Centre on 1 July 2014, which was 8 days prior to the scheduled surgery on 9 July 2014. From memory, Ms Smith was accompanied by her husband/ partner at this consultation.
During my CGO sub-specialty training in 2006, I was introduced to the acronym …show more content…
A right cystectomy was the first course of action as the ultrasound and CT scan had confirmed that were was a dermoid cyst on the right ovary. However; I also advised Ms Smith that in cases such as hers, scans are not always conclusive and the surgeon must proceed on the basis of their intra-operative findings. The CT scan revealed a bulky left ovary, and there was a possibility that it could have been affected by a cyst as well. I also advised Ms Smith that in some cases a cyst may be so severe that an ovary must be removed; and this has been acknowledged in her complaint. Given Ms Smith’s young age, fertility preservation was a paramount consideration. Hence, I re-assured Ms Smith that I would try to be as conservative as possible; and the procedure I had envisaged would preserve her fertility, as only one ovary would be removed at most. The purpose of the Mirena IUD insertion was to regulate Ms Smith’s heavy periods. Ms Smith already had a Mirena IUD in place, for this reason, prior to my involvement in her …show more content…
The word unilateral appears twice because when I was completing the first line, I would have started to write unilateral, however I ran out of space and had to squeeze it into the margin. The consent form, as I have mentioned earlier, plays an essential role in the pre-surgery procedure verification process; hence to avoid any confusion, I wrote the word unilateral again more neatly in the line below. Transcribing the word term unilateral on the form was essential in Ms Smith’s case, because an over-arching aim of the surgery was to achieve resolution of her issues whilst keeping her fertility intact.
Ms Smith executed the form only after I had inserted the word unilateral clearly into the second line.
I realise that this form is a little untidy and given the uncertainty it now seems to creating, in future I will make sure to re-write a form that requires such