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Medico-legal aspects of exercise prescription

Medico-legal aspects of exercise prescription. Dr. David Kan M.A. (Medical Law), M.B.B.S., B. Med. Sci. (Hons). Stages in exercise prescription. Pre-exercise assessment. Advice regarding exercise regime. Monitoring progress. Legal issues. Requisite training and expertise.

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Medico-legal aspects of exercise prescription

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  1. Medico-legal aspects of exercise prescription Dr. David Kan M.A. (Medical Law), M.B.B.S., B. Med. Sci. (Hons) RICHARDS BUTLER

  2. Stages in exercise prescription • Pre-exercise assessment. • Advice regarding exercise regime. • Monitoring progress. RICHARDS BUTLER

  3. Legal issues • Requisite training and expertise. • Seek specialist advice if necessary. RICHARDS BUTLER

  4. Legal issues (3) Duty of care to exercise reasonable skills. (4) Provide proper advice. RICHARDS BUTLER

  5. Legal issues (5) The negligent patient – check patient’s ability to comply with exercise regime. RICHARDS BUTLER

  6. 6. Communication/informed consent • Obtaining “consent” from who? • Need to discuss:- - indication - details of exercise regime - potential risks - prognosis with or without exercise. RICHARDS BUTLER

  7. 6. Communication/informed consent • A legal hurdle? • Establishing good rapport and managing patient’s expectation. • check patient’s understanding • use of information leaflets • proper documentation - ? Consent form ? RICHARDS BUTLER

  8. 7. Keep good medical records Importance of keeping good records: “The quality of medical records is a direct reflection of the quality of medical practice. To achieve and maintain a high standard of medical practice, proper medical documentation is essential … … all doctors have a responsibility to maintain clear, accurate, adequate and contemporaneous medical records of their patients. Systematic record keeping helps in ensuring patients’ problems are followed and properly looked after” Section 1.1.2 of the Medical Council Code of Conduct RICHARDS BUTLER

  9. 7. Keep good medical records • Need to record outcome of assessment, details of discussions etc. • Different types of records. • Your “best friend or worst enemy”. • Does it assist you in reconstructing events without relying on memory? • Citing approved abbreviations only. RICHARDS BUTLER

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  19. Richards Butler You Plaintiff’s solicitors RICHARDS BUTLER

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