Book contents
- Frontmatter
- Contents
- Abbreviations
- List of figures, tables and boxes
- List of contributors
- Preface
- Introduction: the role of ECT in contemporary psychiatry: Royal College of Psychiatrists’ Special Committee on ECT and Related Treatments
- 1 Mechanism of action of ECT
- 2 The ECT suite
- 3 Anaesthesia for ECT
- 4 ECT prescribing and practice
- 5 Psychotropic drug treatment during and after ECT
- 6 Monitoring a course of ECT
- 7 Non-cognitive adverse effects of ECT
- 8 Cognitive adverse effects of ECT
- 9 Dental issues related to ECT
- 10 Training, supervision and professional development: achieving competency
- 11 Nursing guidelines for ECT
- 12 Inspection of ECT clinics
- 13 Other brain stimulation treatments
- 14 The use of ECT in the treatment of depression
- 15 The use of ECT in the treatment of mania
- 16 The use of ECT in the treatment of schizophrenia and catatonia
- 17 The use of ECT in neuropsychiatric disorders
- 18 The use of ECT in people with intellectual disability
- 19 Safe ECT practice in people with a physical illness
- 20 ECT for older adults
- 21 The use of ECT as continuation or maintenance treatment
- 22 Consent, capacity and the law
- 23 Patients’ and carers’ perspectives on ECT
- Appendix I Out-patient declaration form
- Appendix II ECT competencies for doctors
- Appendix III Example of a job description for an ECT nurse specialist
- Appendix IV Example of a job description for an ECT nurse/ECT coordinator
- Appendix V Information for patients and carers
- Appendix VI Example of a consent form
- Appendix VII Useful contacts
- Appendix VIII Example of a certificate of incapacity
- Index
Appendix VIII - Example of a certificate of incapacity
Published online by Cambridge University Press: 02 January 2018
- Frontmatter
- Contents
- Abbreviations
- List of figures, tables and boxes
- List of contributors
- Preface
- Introduction: the role of ECT in contemporary psychiatry: Royal College of Psychiatrists’ Special Committee on ECT and Related Treatments
- 1 Mechanism of action of ECT
- 2 The ECT suite
- 3 Anaesthesia for ECT
- 4 ECT prescribing and practice
- 5 Psychotropic drug treatment during and after ECT
- 6 Monitoring a course of ECT
- 7 Non-cognitive adverse effects of ECT
- 8 Cognitive adverse effects of ECT
- 9 Dental issues related to ECT
- 10 Training, supervision and professional development: achieving competency
- 11 Nursing guidelines for ECT
- 12 Inspection of ECT clinics
- 13 Other brain stimulation treatments
- 14 The use of ECT in the treatment of depression
- 15 The use of ECT in the treatment of mania
- 16 The use of ECT in the treatment of schizophrenia and catatonia
- 17 The use of ECT in neuropsychiatric disorders
- 18 The use of ECT in people with intellectual disability
- 19 Safe ECT practice in people with a physical illness
- 20 ECT for older adults
- 21 The use of ECT as continuation or maintenance treatment
- 22 Consent, capacity and the law
- 23 Patients’ and carers’ perspectives on ECT
- Appendix I Out-patient declaration form
- Appendix II ECT competencies for doctors
- Appendix III Example of a job description for an ECT nurse specialist
- Appendix IV Example of a job description for an ECT nurse/ECT coordinator
- Appendix V Information for patients and carers
- Appendix VI Example of a consent form
- Appendix VII Useful contacts
- Appendix VIII Example of a certificate of incapacity
- Index
Summary
For adults who are unable to consent to investigation or treatment
All sections to be completed by the health professional proposing the procedure
Patient's details (or pre-printed label)
Patient's surname/family name:
Patient's first names:
Date of birth:
Responsible health professional:
Job title:
NHS number (or other identifier):
Male ⎕ Female ⎕
Special requirements:
(e.g. other language/communication methods)
Signature of health professional proposing treatment
The procedure, detailed overleaf, is, in my clinical judgement, in the best interests of the patient, who lacks capacity, to consent for himself or herself. Where possible and appropriate I have discussed the patient's condition with those close to them and taken their knowledge of the patient's views and beliefs into account in determining their best interests.
⎕ I have/have not sought a non-statutory second opinion (see below). (Delete as appropriate.)
⎕ I confirm that I have read the legislation table and have taken account of all the issues governing the administration of ECT as pertaining to the Mental Capacity Act 2005 and where relevant the Mental Health Act 1983.
Signature: Date:
Name (print): Job title:
Where second opinion sought, the patient should sign below to confirm agreement:
Signature: Date:
Name (print): Job title:
Where the patient is detained under the MHA 1983:
A Has a Second Opinion been requested from CQC? Yes / No
B Is a T6 completed and attached? Yes / No Date completed:
C Has a Section 62 Form been completed? Yes / No
(A) Name of proposed procedure or course of treatment
Electroconvulsive therapy: Unilateral ⎕ Bilateral ⎕ Either ⎕
(Please tick laterality)
(B) Assessment of patient's capacity
I confirm that:
⎕ The patient is unable to comprehend and retain information material to the decision; and/or
⎕ The patient is unable to use and weigh this information in the decision-making process; or
⎕ The patient is unable to communicate their decision (whether by talking, using sign language or any other means)
⎕ The patient is unconscious
Please provide details (excluding where patient unconscious): for example of how above judgements were reached; which colleagues consulted; what attempts made to assist the patient make their own decision and why these were not successful.
- Type
- Chapter
- Information
- The ECT Handbook , pp. 262 - 265Publisher: Royal College of PsychiatristsPrint publication year: 2013