sok - Network

- Duty of care does not provide a right to impose care.- Staff-initiated diets without SLT review (esp LTC) problematic when many lack...

- Duty of care does not provide a right to impose care.

- Staff-initiated diets without SLT review (esp LTC) problematic when many lack knowledge to make such recommendations or to discuss pros and cons to seek consent.

- Even if SLT involved, lack of resources for review/follow-up is troubling for practice and for consent process.

- ‘Shared decision making’ does not imply joint decision making / any reduction of patients’ decision-making authority;...

- ‘Shared decision making’ does not imply joint decision making / any reduction of patients’ decision-making authority; ‘compliance’ language and attitude is not consistent with respect for this authority.
- A patient who agrees to try a particular diet is not entering a ‘binding covenant’ that can only be broken by mutual agreement.

Delighted to see our latest (open access) on Informed or misinformed consent and use of modified texture diets in dysphagia...

Delighted to see our latest (open access) on Informed or misinformed consent and use
of modified texture diets in dysphagia https://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-023-00885-1

Among the messages

- Consider current practice (+ guidelines from professional bodies) re MTDs in context of current best evidence and thru ‘lens’ of informed consent

- Ample reasons to suggest that current informed consent practice in this area is suboptimal

"Language can reflect and shape attitudes. Consider, for example, the connotations, and unacceptability, of “I consented him/her for...

"Language can reflect and shape attitudes. Consider, for example, the connotations, and unacceptability, of “I consented him/her for sex”".

An outing, with Dr Teh, for another bee in my bonnet: transitive uses of the verb 'to consent': in the medical literature which...

An outing, with Dr Teh, for another bee in my bonnet: transitive uses of the verb 'to consent': in the medical literature which makes it even worse!
https://academic.oup.com/qjmed/advance-article-abstract/doi/10.1093/qjmed/hcac256/6823543?redirectedFrom=fulltext