Informed consent is tailor-made
‘Business Dilemmas’
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?
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