Leah Lawrence

Cancer Nursing Today nonprod

Use of a 3-stage capacity-consent process was possible and allowed for adequate time to show a patient&rsquo;s capacity to be able to consent to proposed cancer treatment, according to new data presented at ESMO Congress 2022.Demonstrating the capacity for medical decision-making must include: understanding the nature of the cancer, appreciation of the range of potential options, weighing up the pros and cons of each options, and the ability to reach a decision that is communicated.&nbsp;Researchers from Beaumont RCSI Cancer Centre in Dublin, Ireland, presented information on their development of a 3-stage capacity-consent process performed during three occasions prior to delivery of cancer therapy.&ldquo;The decision to undergo systemic anti-cancer therapy by patients with cancer is a complicated process. The decision is based around many variables,&rdquo; they wrote in their research abstract. &ldquo;Consent requires that a person has the capacity to consent.&rdquo;In the 3-stage capacity-consent process, patients were initially assessed by a senior medical oncologist who was responsible for discussing the person&rsquo;s cancer, the treatment options and side effects; and predicted outcomes for each option, and then planned an appropriate treatment. Later the same day, a liaison clinical nurse specialist further educated the patients on the aspects of the proposed treatment.Within 10 days, the patient was reviewed with a different oncology doctor and a different clinical nurse specialist who answered any questions, gave further education, and proceeded to signing of consent. Patients could ask questions again on the day of treatment initiation.During a 5-month period, 126 patients were included in a pilot study of the new system. The median age of patients was 65 years. About one-third (32%) of patients were consenting to immunotherapy-related regimens; 13% concurrent chemoradiotherapy, and about half (55%) to cytotoxic chemotherapy.All patients were offered the new 3-stage capacity-consent process, and all engaged and fully participated.According to the researchers, the several phases of consent built into the program allowed patients and their families &ldquo;information processing time&rdquo;. The pilot approach is now being expanded to all patients at the cancer center.Reference<a href="https://oncologypro.esmo.org/meeting-resources/esmo-congress/three-stage-capacity-consent-process-for-systemic-anti-cancer-therapy" target="_blank" rel="noopener">ESMO 2022- Abstract CN30 &ndash; Three Stage Capacity: Consent Process for Systemic Anti-Cancer Therapy</a>

Three-Stage Consent Initiative Allows Patients Processing Time

Treatment

Use of a 3-stage capacity-consent process was possible, providing adequate time to show a patient’s capacity to be able to consent to proposed cancer treatment.

Three-Stage Consent Initiative Gives Patient Processing Time

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