Consent and provision of information — structured SAQ (15 marks)

A 38-year-old woman with symptomatic fibroids is booked for laparoscopic hysterectomy. At the pre-admission clinic she speaks limited English and her partner answers most questions. She says she is worried about loss of fertility, but the consent form lists only bleeding and infection. On the morning of surgery she says she is unsure and asks whether the operation can be postponed. (a) Describe the three elements of valid consent and apply them to this patient (4 marks). (b) Explain the reasonable patient/material-risk standard and list the information you would disclose (4 marks). (c) Describe how you would assess and support understanding, voluntariness and language access (3 marks). (d) Write the essential components of the contemporaneous documentation and immediate plan (4 marks).