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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. Duty of care to exercise reasonable skills.

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Medico-legal aspects of exercise prescription

Dr. David Kan

M.A. (Medical Law), M.B.B.S., B. Med. Sci. (Hons)

RICHARDS BUTLER

stages in exercise prescription
Stages in exercise prescription
  • Pre-exercise assessment.
  • Advice regarding exercise regime.
  • Monitoring progress.

RICHARDS BUTLER

legal issues
Legal issues
  • Duty of care to exercise reasonable skills.
  • Requisite training and expertise.
  • Seek specialist advice if necessary.
  • Provide proper advice.
  • The negligent patient – check patient’s ability to comply with exercise regime.

RICHARDS BUTLER

6 communication informed consent
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

6 communication informed consent1
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

7 keep good medical records
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

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7 keep good medical records1
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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Richards Butler

You

Plaintiff’s solicitors

RICHARDS BUTLER