4.7 Using a mirror If a wound is located in an awkward position or if the patient is unable to achieve a suitable position for photography, it may be helpful to incorporate the use of a mirror for photography. A mirror specifically designed for use during photography or a large dental mirror can be used. The mirror should be positioned so that the photographer is able to see the wound clearly and without any obstruction in the reflection (Figure 19 and 20). The photographer can then photograph the reflection (resulting images should be reversed so that the wound is seen normally).
The mirror should be cleaned in accordance with local infection control guidelines before it is put into use and once again, when the photographic session has ended. Figure 19. Mirror positioned on flat surface beneath foot so photographer has clear and unobstructed view of sole. Figure 20. Resulting image has been reversed so that view is seen normally. 5. Gaining consent to clinical photography Valid consent to treatment is central to all forms of healthcare.
Not only do patients have a right to know exactly what will happen to them whilst under our care but failure to obtain proper consent, where a patient subsequently suffers harm in some way, can lead to claim of negligence against both the individual and the organisation. It is therefore vital that all staff involved in seeking consent from patients for any form of treatment, understand what is involved, who may seek consent, what ‘informed consent’ means, how to discuss consent with patients, and what needs to be recorded or written in patients notes.
Medical Illustrators should be aware that there are special rules which apply in the case of young people and children, and for adults who lack capacity. For clarification of issues relating to consent with regards to Medical Illustration, please refer to IMI National Guidelines for Consent in Clinical Photography. For specific information relating to consent to photograph a patient with suspected non-accidental injuries, please refer to IMI National Guidelines Photography of Non-accidental Injuries. page 16