Consent for operation

Discussion in 'I care for a person with dementia' started by canary, Jul 6, 2015.

  1. canary

    canary Registered User

    Feb 25, 2014
    10,809
    Female
    South coast
    I have just discovered that mum has been listed for a cataract operation and no-one told me anything about it. I have just discovered that she is having it done this week! Im pretty peeved to say the least.
    My main question is, however - does anyone know who signs the consent form given that she has lost capacity and I have CoP for finances only?
     
  2. jeany123

    jeany123 Registered User

    Mar 24, 2012
    19,036
    Durham
    #2 jeany123, Jul 6, 2015
    Last edited: Jul 6, 2015
    When my husband who has dementia was going to have a cataract operation I was told by the specialist that it was up to the specialist to decide whether it should go ahead and I had no say,
     
  3. nitram

    nitram Registered User

    Apr 6, 2011
    19,277
    Male
    North Manchester
    Mental health conditions
    Under the Mental Health Act (1983), people with certain mental health conditions – such as schizophrenia, bipolar disorder or dementia – can be compulsorily detained and treated at a hospital or psychiatric clinic without their consent, if deemed necessary.
    If the person lacks capacity (the ability to understand information and use it to make a decision) and has not previously expressed their wishes, their mental health condition may be treated without consent, as may any related conditions, such as those resulting from self-harm. However, unrelated physical conditions cannot be treated without consent.
    An advance decision prohibiting certain types of treatment can be overruled if a person is being held under the 1983 Act, even if they made the original decision when they were capable.

    http://www.nhs.uk/Conditions/Consent-to-treatment/Pages/How-does-it-work.aspx

    How essential is the operation?
    What is the likelihood that your mum would pull the eye patch off and scratch at the eye?
     
  4. jenniferpa

    jenniferpa Volunteer Moderator

    Jun 27, 2006
    39,438
  5. canary

    canary Registered User

    Feb 25, 2014
    10,809
    Female
    South coast
    Indeed
    Actually Im more concerned about the actual operation itself. Im not sure she will be able to keep still that long and Im hoping that they are going to do it under sedation.
    She doesnt see very well now - I think that she has quite dense cataracts and she does regularly say - "I wish I could see better", but I am somewhat apprehensive.

    Does the bit you quoted mean that no-one is able to sign consent in her circumstances?
     
  6. jenniferpa

    jenniferpa Volunteer Moderator

    Jun 27, 2006
    39,438
    My link indicates that she might be considered to have capacity to agree to the surgery, particularly as she has obviously expressed a desire to see better. If she clearly doesn't have capacity, then family should be consulted if they are available or an IMCA consulted if not.

     
  7. canary

    canary Registered User

    Feb 25, 2014
    10,809
    Female
    South coast
    Ah, thanks for the clarification Jennifer - I was a bit confused.

    I think I will need to speak to the surgeon on the day of the op so that she/he is aware of the situation. Mum presents extremely well and they may not realise how bad she is.
     
  8. Not so Rosy

    Not so Rosy Registered User

    Nov 30, 2013
    578
    A similar situation arose with my Dad but in his case it was Radiotherapy.

    He had all the pre treatments checks done fine but on the day the actual treatment was due to start they refused to go ahead unless I was there to sign the consent forms.
     
  9. Saffie

    Saffie Registered User

    Mar 26, 2011
    22,499
    Female
    Near Southampton
    After the caaract operation, two different eye drops have to be inserted into the eye at regular times.
    Will your mother be able to do this or will someone be available to insert them for her. It's not easy.
    You only have to keep the eye covered for the day and night of the operation.
     
  10. canary

    canary Registered User

    Feb 25, 2014
    10,809
    Female
    South coast
    Thank you, not so rosy. I think they may do the same here.

    Fortunately she is in a care home and they will put the drops in. They already know about this. :)
     
  11. Saffie

    Saffie Registered User

    Mar 26, 2011
    22,499
    Female
    Near Southampton
    That's a relief as it's not easy even without dementia!
     
  12. 100 miles

    100 miles Registered User

    Apr 16, 2015
    109
    I hope the operation goes well. Some people are very good at 'doing what the Dr says'.

    With a bit of close supervision after the operation hopefully everything should be OK. I did find my mum wandering around in the middle of the night having removed her eye patch...but we stuck it back on and all was OK. It does help being super attentive for a while.

    Keeping her sight as clear as possible may make life a little less of a struggle.
     
  13. Feline

    Feline Registered User

    Oct 25, 2012
    164
    East Devon
    We used to have an allocated nurse whose job in theatre was to hold the patients hand while the cataract op was done, (only takes about 15 mins if all goes well). If you ask you may be allowed in to sit with her depending on the surgeon. Hope it goes well.
     
  14. Spamar

    Spamar Registered User

    Oct 5, 2013
    6,992
    Suffolk
    Hi Feline, a long long time ago I used to be a theatre technician and have sat and held people's hand during their cataract op. Is it still done? Used to make the elderly feel much more comfortable to be in contact with someone.
     
  15. canary

    canary Registered User

    Feb 25, 2014
    10,809
    Female
    South coast
    Yes, I believe that it is still done - I do hope so, otherwise there would be no chance of mum staying still.
     
  16. Lancashirelady

    Lancashirelady Registered User

    Oct 7, 2014
    110
    My Mum had a skin cancer removed from the top of her head under local anaesthetic at the day surgery centre. I was dreading it but she was good as gold, apart from singing "Show me the way to go home" umpteen times while we were waiting for her turn! However, the surgeon sewed a dressing to the top of her head - and she managed to get it off the same night. She reckoned mice had been running over her head! By some miracle and with lashings of savlon it all healed up very well.
     

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