Decisional Capacity Assessments and Advance Directives

Parthasarathi, Usha

doi:10.1007/978-3-319-30346-8_6

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…Any doctor may perform a DMC assessment for a patient under their care. 8 However almost half (49%) of the experts in the Ganzini study believed that it was "very common" for doctors to think that a mental health professional is necessary to perform an assessment of capacity. 7 In contrast, our study found that almost two-thirds (66) of respondents understood that even an anesthesiologist could perform a capacity assessment.…”

Section: The Need For Mental Health Professionals To Perform Dmc Asse...mentioning

confidence: 99%

Doctors’ knowledge regarding decision-making capacity: A survey of anesthesiologists

Moodley

Dhai

2021

Clinical Ethics

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Informed consent for anesthesia is an ethical and legal requirement. A patient must have adequate decision-making capacity (DMC) as a prerequisite to informed consent. In determining whether a patient has sufficient DMC, anesthesiologists must draw on their knowledge of DMC. Knowledge gaps regarding DMC may result in incorrect assessments of patients’ capacity. This could translate to an informed consent process that is ethically and legally unsound. This study examined the DMC-related knowledge of anesthesiologists in a group of four university-affiliated hospitals. The findings suggest that anesthesiologists have several areas of knowledge deficiency regarding DMC and DMC assessment. These findings could inform the development of undergraduate and postgraduate curricula.

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Section: The Need For Mental Health Professionals To Perform Dmc Asse...mentioning

confidence: 99%

Doctors’ knowledge regarding decision-making capacity: A survey of anesthesiologists

Moodley

Dhai

2021

Clinical Ethics

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Assessing patients decision‐making capacity in the hospital setting: A literature review

John

Rowley

Bartlett

2020

Australian J Rural Health

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ObjectiveDecision‐making capacity assessments for hospital settings are challenging as it is dominated by the ethical and legal principles of maintaining autonomy and protection. Health clinicians, especially in rural areas, are challenged with a lack of a standardised processes and pathways for decision‐making capacity assessment. A literature review was conducted to determine what measurement tools clinicians are utilising in the hospital setting for decision‐making capacity assessment and how decisions relating to consent to treatment, independent living and finances are made.DesignLiterature review.MethodA search of MEDLINE, EMBASE and PsycINFO databases from January 2006 to April 2019 was conducted for peer‐reviewed articles to determine how decision‐making capacity assessments are conducted and the tools clinicians are utilising in the hospital setting.ResultsFive main themes were identified from this review: (a) domains of capacity; (b) capacity assessment; (c) capacity assessment instruments; (d) who performs capacity assessment; and (e) challenges and limitations to capacity assessment in the hospital setting. Currently, there is no gold standard for capacity assessment.ConclusionThis review shows that there is currently a lack of a uniform approach or a singular test to determine capacity. It is proposed that a multidisciplinary approach to decision‐making capacity assessment could be an effective model in the hospital setting, especially in rural health due to limited access to aged care specialists. It is important that clinicians receive ongoing training in decision‐making capacity assessment and further research is recommended in this specialised area of practice.

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Decisional Capacity Assessments and Advance Directives

Cited by 2 publications

References 12 publications

Doctors’ knowledge regarding decision-making capacity: A survey of anesthesiologists

Doctors’ knowledge regarding decision-making capacity: A survey of anesthesiologists

Assessing patients decision‐making capacity in the hospital setting: A literature review

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