A 34 year old woman requests for sterilization. Her last born child has cerebral palsy. Her husband strongly objects to the procedure. What is the SINGLE most appropriate action?
A. Provide advice for other modes of contraception
B. Proceed with patient wishes and carry out sterilization
C. Seek judicial review instructions
D. Referral to social services
E. No action taken
In this case stem, there is no indication that the patient’s mental capacity is impaired. Under GMC consent guidelines, “no one else can make a decision on behalf of an adult who has capacity”. In addition, it is up to the patient’s choice whether to involve their family members or carer in their decision making process. Therefore, you would proceed with the patient’s wishes assuming that you have thoroughly explained the procedure, its outcomes and risks and the patient has been fully informed to her full satisfaction.