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GP consent for Pregnant client

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Hiya!

I qualified in October 2004 and have been seeing clients at home since then. I recently joined a clinic to set up one day each week.

I had an equiry from a woman who is 7 months pregnant and wanted to have aromatherapy massage as a treat for herself as she has started maternity leave.

I did a telephone consultation as she lives some distance away. I said I needed GP consent before any treatment, with or without oils and she said nobody had ever asked for that before.

I tried to phone the GP but could not speak to them, so I sent my standard consent letter for them to sign.

GP replied saying she felt no reason for patient not to benefit, but puzzled as to why I was asking for her consent and did I have professional insurance.....

Now, my reasons for seeking permission are as follows:
1. Client previously unknown to me.
2. Raising awareness and standing of aromatherapists in the community, especially with NHS personnel
3. Erring on the side of caution.

What do you all think?

Would be great to hear from you!

Helen X
 
Its always a good idea as far as I'm concerned and we were taught that we should get gp consent when I was at college. I always thought it would be a great way of developing a good relationship with gps and midwives.

Sally x
 
Makes you wonder whether the GP's etc are aware of what we are being taught doesn't it?
 
Helen

you have raised an interesting point which is relevant to all complementary therapists. GP's are bombarded with requests for "a letter from the doctor", and this may mean giving an opinion regarding therapies about which we have no knowledge. The response is often to advise AGAINST such treatment, on the grounds of this lack of knowledge. Hopefully this will change gradually with the introduction of awareness of CT's into the training and general awareness of rank and file medics.

Therefore, to assist you in forming a good relationship with doctors, I would suggest the following :

(1) assume total ignorance of your therapy - you'll probably be correct

(2) outline current best practice in your therapy for the situation involved - eg list oils you propose using, show awareness of what should not be used, and warn of any special precautions or contrindications that YOU are aware of. This will hopefully reassure the doctor that you are well informed.

(3) if you can, give references to support your proposals, or mention a reputed centre who are using aromatherapy in pregnancy eg Birth Unit Midwives at the independent Hospital of St John & St Elizabeth in London are skilled in the use of essential oils for pregnancy and childbirth

(4) if you really want to impress, after giving treatment send the doctor concerned a professional letter informing him of how his patient benefitted from your therapy.

Best of luck with your career - Doq xxx ( married to an aromatherapist )
 
Agree with what Doq has said. GP's have no knowledge of our therapies, so therefore cannot be medico-legally responsible for something they know nothing about.

However, the best and easiest route is to get the client to get permission when she nexts visits the doctor or midwife and then get her to sign that she has such permission.

This is now advocated by FHT as doctors are far more likely to respond if one of their patients says 'do you think it would be OK if I had some aromatherapy treatment?'.

Lesley
 
Wow!

Interesting responses. Thank you!

I have a standard form which is very simple and I send it to GPs with a first class SAE - always had a response with this and - funnily enough - alwys been positive. I am keen to raise knowledge and understanding of aromatherapy to ANYONE who is prepared to listen!

My contact details are on there and I am happy to talk to a GP - it's often hard to get hold of them by phone!

Looking forward to reading more replies!

Thanks everyone!

Helen
 
That's on eof the reasons why I do not bother with GP's conscent... How can they give an informed conscent if they do not know anything about it?

Artemis
 
Good point, but worth also remembering that the GP does have the primary responsibility for each patient in their books.
Even if a patient self-refers to us (what's that 99.5% of the time) communication with their GP (with the patent's consent) is good practice.
I was encouraged at college to write a letter to state that patient X is coming for treatment for this-n-that-itis. And then to write again after a spell of treatment to say how they are now completely recovered at a cost of £...
There wasn't a great deal of confidence that these letters would ever make it to the GPs attention, so if we were particularly concerned about a patient, we were encouraged to phone during the GPs appointed half-hour phone-in time.

I wonder what would happen if every alt-med practitioner did actually write at least 2 letters per patient to the GP in this way!?

Aragorn
 
Interesting question...
I have many clients whocome only for one or two sessions and never show up again -despite not being "recovered"- that I would never be able to write the second letter.

Artemis
 
Aragorn - you stated



responsibility is a key factor here - if I as a GP recommend a patient to see any therapist, I am retaining overall responsibility; however if that patient decides to go directly to a therapist without consulting me, the responsibility for care would rest with the therapist. If a therapist writes to me asking for my consent to treat, this would transfer responsibility back to me - and that is why many GP's will not consent, as they have no knowledge to make them feel able to do so.

The therapists that I refer to are the ones who conduct themselves in a professional manner - and good communication is vital. Most practices are computerised now, so incoming mail about a specific person is increasingly scanned into the patient record - and certainly this would apply to all all letters from complementary therapists sent to my surgery.

If you can establish e-mail contact, that is an excellent way to keep in touch, and a hyperlink to your website will be helpful.
The phone-in time you mention is for giving advice to patients - hopefully if you are good enough to phone a doctor about a mutual customer, they will have the courtesy to treat you as a colleague and speak to you more readily.

Behave as a respected colleague and you should get treated like one!

with love & light - Doq xxx
 
Hi Doq,

Very well worded. If I write fo rconscnet to a GP, I am not only asking "do you agree on your patient getting Shiatsu" but "do you agree on myself trtetaing your patient with Shiatsu". NOw, since they do not know me, how on earth could they say yes or no?

I am wonderimng how GP's woudl react if they got a letter signed both from the patient and the therapist if it is just to inform about treatment and progress?

Artemis
 
Artemis

generally speaking, one would assess an unknown complementary therapist by their training/qualifications, membership of professional body, and holding of professional indemnity insurance.......then one would look at whether any letter received is informative, literate and to the point (you'd be surprised at some we get [:'(] )

After you have treated the client and sent a report to the GP explaining the benefits (we hope) then you stand a chance of getting subsequent direct referrals, and building up a good working relationship with that doctor.

I cannot see any reason why you should send the GP a letter signed by the patient and yourself - it's almost sounds like a "yah boo sucks" gesture [:-]

with love and hugs - Doq xxx
 
Idelally patients should be the ones to inform GP about their health progress... Or am I misisng something?
We often hear that it is a courtesy to inform the GP we are working with one of their patients. Do you , or colleagues you know, find it rude if the complementary therapist doesn't do it?

Artemis
 
Artemis - you posed the question :



I was responding that I would find it odd to get a letter signed by the therapist and the patient, that's all.

Most commonly patients do not tell their GP's they are going to a CT as they fear disapproval, which would be true in some cases [] - however best practice from your point of view would be to do as I have already outlined in previous post.

For me it is a great pleasure building up good relationships with therapists I come to view as colleagues....and I am pleased to make appropriate referrals to them when my patients come to me for advice.

hope that clarifies it for you. xxx Doq
 
Hi Doq,

Thanks for the clarifications.

Artemis
 
Doq

If only more GP practices were like yours. Sadly not the case yet IME.

Aragorn
 
hi doq,

as the others have said... if only more GP's were like you!! sadly, they are not and therefore, seem reluctant to have anything to do with therapists at all.

i spoke to a consulatnt once about the idea of doctor consent. his reply was that, if we, as the therapist, were experts on our subject, why would we then assume to shift responsibility back onto the doctor? it seems that this is how some GP's see a consent letter (as pointed out above).

some seem to miss the point that its not a question of "passing the responsibility buck"... its more a curtesy... information for the file... afterall, doesnt the client/patient have overall responsibilty for their health?

maybe our "consent" letters should be more in the way of information... i.e. "your patient has decided to attend for "X" therapy, and having taken a full health and lifestyle consultation, in my opinion as a blah blah qualified therapist, i will be giving X number of treatments for X number of weeks and will write to you again, to let you know progress."??????

dunno would that work? obviously more tactfully written, you understand!
 
Rosie - your sugestion is exactly how it should be done - not a "consent" letter but information passed from one professional to another. I was trying to outline that in my reply to Helen above

xxx Doq
 
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    ✨✨✨✨✨[GRAND OPENING]✨✨✨✨✨ 💞Endless Joy Spa💞 🎇 (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565🎇Young 19 Year Old Slim Petite Brazilian Hottie Julianna, New First Day Slim Petite Judy, Tall Slim Sexy Chinese Vicky
  40. Peony Garden Spa:
    🌸2 GIRLS AVAILABLE TODAY 🌸 JENNY: A TALL AND SLIM KOREAN GIRL THAT IS A TOTAL SERVICE QUEEN 🌸 ELLA: A PETITE YOUNG CHINESE GIRL THAT IS A POPULAR FAVOURITE 🌸 PEONY GARDEN SPA 🌸 3477 KENNEDY ROAD UNIT 4 🌸 (416) 335-6093 🌸
  41. ASPA:
    𝗠𝗢𝗡𝗗𝗔𝗬 𝗔𝗧 𝐀 𝐒𝐏𝐀: EMMA and RACHEL. 🅰️𝐀 𝐒𝐏𝐀🅰️, 28 South Unionville Ave, Unit 5, Markham. 🅰️𝗖𝗮𝗹𝗹 𝟲𝟰𝟳-𝟳𝟮𝟵-𝟲𝟲𝟬𝟲 𝗼𝗿 𝘁𝗲𝘅𝘁 𝟲𝟰𝟳-𝟴𝟯𝟵-𝟱𝟵𝟲𝟲🅰️ A THOUSAND PLEASURES AWAIT: EMMA is 1.64Cm. and weighs 52Kg. Emma is sweet and elegant, has very good communication & massage, and her services will make your visit enjoyable.
  42. HolidaySpa:
    Monday at 🌴😎🌅𝓗𝓸𝓵𝓲𝓭𝓪𝔂 𝓢𝓹𝓪🌅😎🌴3517 Kennedy Rd, Unit 4, Scarborough ☎️𝟰𝟯𝟳-𝟮𝟰𝟳-𝟭𝟭𝟵𝟵☎️VIVIAN & JENNY JENNY has a medium build, nicely curved. Jenny has a slim waist, pretty face, and very flexible skills. Jenny will make you very happy. VIVIAN is camera shy & doesn’t want to post a pic so far. She is young, attractive, and a must see for big boob lovers.
  43. ForeverWarden:
    Monday at 🫦❤️🔴♾️𝓕𝓞𝓡𝓔𝓥𝓔𝓡 𝓢𝓟𝓐♾️🟥🔴❤️🫦 2190 Warden Ave, Unit 201, Scarborough 𝟰𝟭𝟲-𝟴𝟬𝟬-𝟳𝟴𝟴𝟳: Cindy, Bella & Lisa. Bella is around 5’3” with a thin to medium build, C Cups, and a pleasing personality. She can offer dfk, bbbj and cfs as well as a good massage. Cindy is a slim beauty, 5’4”, natural C Cups & wonderfully long nipples. Her massage is nice, her bbbj will drive you wild
  44. Sunrise Health Centre:
    Summer, Mandy & Coco are here Today! Call/Text: (647) 325-8086 💦 We have Hot & Sexy Girls Every Day. They all do Extra Services & are Very Open-Minded ~ Drop In Anytime - Walk-Ins Are Always Welcome! Unit 27, 10 East Wilmot Street, Richmond Hill
  45. New Oriental Health Centre:
    💄 It's Happy, Michelle & Hanna Today ~📞📲: (647) 381-2688 ~ Make Your Day Incredibly Delicious | Our girls provide lots of service options & are Extremely Open-Minded 🤗 We're Open 9am - 2am everyday! Drop in to Unit 26, 10 East Wilmot Street, Richmond Hill.
  46. Moon&beauty:
    MoonMoon spa/416 887 8801/8131Yonge st #203 Cuban girl ( new Young Light Sikh) and Asian girl cici in today
  47. Lily Spa:
    ❤️ KAJAL, CAMILLA and KK are here today for your massage needs ❤️ Lily Spa ❤️ 2190 McNicoll ❤️ Scarborough ❤️ M1V 5M2 ❤️ (647) 531-8288 ❤️
  48. Sparkling Spa:
    SEXY ZOE AND K-POP NYMPHO SUMMER TODAY @ SPARKLING SPA!!! 50 Lockridge Ave Unit 8✅ 👌Markham, ON L3R 8X4👌 ☎️(905) 604-8186 Spa Land Line☎️ ☎️(437) 446-6688 NEW Spa Cell Phone☎️ (West of Warden & 16th Ave)✅NEW MANAGEMENT💯NEW GIRLS🔥
  49. Red Rose Spa:
    🌸 We have 5 hot brown girls today 🌸 ASHA, MALIYA, PAOLA, AMANDA, MIMI, LUCY, AAVI, SANA 🌸 2588 Birchmount 🌸 2 Invergordon 🌸 647-702-8800 🌸 Please visit for a great erotic massage
  50. bumika.vashi:
    (((आपको बिना नाटक या नखरे करने वाला सर्विस चाहे तोह याद करना. ))) If you want Service without Drama or Tantrums, Remember it. Will Try To Give You The Best Possible Sweating Experience With Full Company. TAKE MY WORD.?? Don't Waste Your Time And Money In Some Other Place Where You are Really Upset Loosing Out Both Money And Fun. Ok Try With Our Girls Once Then Your Visit Will Be Regular To Me.... _________________N O T E_________________ If u like my services Please Please Do not forget to
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