How we make decisions
A health care decision maker has the right to all information that the adult would have in order to make an informed decision.
If you need to make a health care decision for someone else you should ask the health care provider questions that will help you to understand what type of treatment they are proposing, and what effect it will have. These may include:
- What is the medical condition?
- What does the treatment involve?
- What are the benefits of the treatment?
- What are the risks of the treatment?
- What are the consequences of not having the treatment?
- Is there alternative treatment available?
Restricted practice decisions
If an adult has challenging behaviours that could cause harm to themselves or to others, a guardian could be appointed by QCAT with special responsibilities to help manage this.
Uncertainty about decisions
A decision-maker also has the right to ask for a second opinion in the same way that the adult could ask for a second opinion if they had the capacity to make decisions.
If you are confused or worried because you have been asked to make a major decision and you are not sure what is in the best interests of the adult, you might consider asking for a second opinion from another doctor or talk to the nurses or your family. If you are still undecided or you do not wish to make a decision, you may contact the Public Guardian for information on decision-making.
If there is disagreement between attorneys or statutory health attorneys about health care decisions, the Public Guardian may offer informal mediation to try to resolve disagreements. If unsuccessful, the Public Guardian is empowered to make the health care decision acting as statutory health attorney of last resort.
You can get more help and information by calling us on 1300 653 187.
Consent before health care treatment
In most instances an adult’s consent is required before treatment. Consent is required for such things as (but not limited to):
- participation in a clinical research trial (approved by QCAT) and
- withholding or withdrawing life sustaining measures (find out more by reading our withholding and withdrawal of life sustaining measures framework).
Consent is not needed for:
- urgent health care (treatment needed to meet imminent risks to the adult’s life or health or treatment to prevent significant pain or distress, and it is impracticable to get consent)
- minor and uncontroversial health care, provided it is necessary for the adult’s health and well-being and they do not object to the treatment such as:
- applying first aid
- taking blood pressure
- checking teeth
- giving medications normally obtained without a prescription
- giving antibiotics for a throat infection or asthma medication
- administering cough mixture
- a flu vaccination or eye drops
- giving a tetanus or hepatitis injection.
If you refuse to consent to the treatment, a health care provider may ask the Public Guardian to intervene if they believe the adult needs the medical treatment and that you are acting against the health care principle.
The Public Guardian will ask you how the decision was made and the reasons considered as part of that process. For example, the adult may have told you at some time in the past that they would not want to undergo specific treatment.
The Public Guardian then considers your explanation, information from the doctor and the principles contained in the law. The Public Guardian is empowered to make the health care decisions if you are acting contrary to the Health Care Principle.
Decisions that cannot be made
Guardians, attorneys for health matters and statutory health attorneys do not have the authority to consent to special health matters such as:
- donation of tissue
- termination of pregnancy
- participation in special medical research or experimental health care.
Only QCAT can give consent for these matters.