Informed consent is tailor-made

FreeVector-Thinker‘Business Dilemmas’Dr Nicola Lennard

Independent practitioners’ questions about risk management and consent are answered here by Dr Nicola Lennard (right).



Dilemma 1

What info should I give this carer?

Q. I was recently visited by a patient who had been referred to my vascular out­patient clinic for consideration for a carotid endarterectomy, after suffering a middle cerebral artery territory transient ischaemic attack.

A carotid duplex scan has shown the relevant carotid artery to be 90% occluded. The patient has a past history of a radiotherapy to the neck for a toxic goitre, but this was 20 years ago.

She is the main carer for her husband, who has Parkinson’s disease, and she is a regular member of the local church choir.

What information should I provide to ensure informed consent?