Assessing Capacity Flashcards
1
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
2
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
3
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
4
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
5
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
6
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
7
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
8
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
9
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
10
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
11
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
12
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
13
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
14
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
15
Q
What is the legal basis of capacity?
A
- All adults are presumed to be capacitous
- Assessment should only be carried out where there is legitimate doubt about a patient’s capacity NOT simply because a patient disagrees with a clinician
- Criteria contained within Mental capacity Act 2005 are used to assess capacity and this is a general clinical skill.
16
Q
What is needed for a patient to be deemed to have capacity?
A
Patient needs to be able to:
- Understand
- Retain
- Weigh up information
- Communicate a decision
17
Q
What is needed for a patient to be deemed to have capacity?
A
Patient needs to be able to:
- Understand
- Retain
- Weigh up information
- Communicate a decision
18
Q
What factors can affect an individual’s capacity to make particular decisions?
A
- Pain
- Fear
- Confusion
- Effects of medication
19
Q
What 2 things are important about the assessment of capacity?
A
The assessment should be time and decision specific.
20
Q
What is needed for a patient to be deemed to have capacity?
A
Patient needs to be able to:
- Understand
- Retain
- Weigh up information
- Communicate a decision
21
Q
What factors can affect an individual’s capacity to make particular decisions?
A
- Pain
- Fear
- Confusion
- Effects of medication
22
Q
What 2 things are important about the assessment of capacity?
A
The assessment should be time and decision specific.
23
Q
What is an advanced directive?
A
An advance directive that tells what medical treatment a person does or doesn’t want if he/she is not able to make his/her wishes known.
24
Q
What is a power of attorney?
A
A power of attorney is a legal document that allows someone to make decisions for you, or act on your behalf, if you’re no longer able to or if you no longer want to make your own decisions.
25
What is needed for a patient to be deemed to have capacity?
Patient needs to be able to:
1. Understand
2. Retain
3. Weigh up information
4. Communicate a decision
26
What factors can affect an individual's capacity to make particular decisions?
- Pain
- Fear
- Confusion
- Effects of medication
27
What 2 things are important about the assessment of capacity?
The assessment should be time and decision specific.
28
What is an advanced directive?
An advance directive that tells what medical treatment a person does or doesn't want if he/she is not able to make his/her wishes known.
29
What is a power of attorney?
A power of attorney is a legal document that allows someone to make decisions for you, or act on your behalf, if you're no longer able to or if you no longer want to make your own decisions.
30
What is needed for a patient to be deemed to have capacity?
Patient needs to be able to:
1. Understand
2. Retain
3. Weigh up information
4. Communicate a decision
31
What factors can affect an individual's capacity to make particular decisions?
- Pain
- Fear
- Confusion
- Effects of medication
32
What 2 things are important about the assessment of capacity?
The assessment should be time and decision specific.
33
What is an advanced directive?
An advance directive that tells what medical treatment a person does or doesn't want if he/she is not able to make his/her wishes known.
34
What is a power of attorney?
A power of attorney is a legal document that allows someone to make decisions for you, or act on your behalf, if you're no longer able to or if you no longer want to make your own decisions.
35
What is needed for a patient to be deemed to have capacity?
Patient needs to be able to:
1. Understand
2. Retain
3. Weigh up information
4. Communicate a decision
36
What factors can affect an individual's capacity to make particular decisions?
- Pain
- Fear
- Confusion
- Effects of medication
37
What 2 things are important about the assessment of capacity?
The assessment should be time and decision specific.
38
What is an advanced directive?
An advance directive that tells what medical treatment a person does or doesn't want if he/she is not able to make his/her wishes known.
39
What is a power of attorney?
A power of attorney is a legal document that allows someone to make decisions for you, or act on your behalf, if you're no longer able to or if you no longer want to make your own decisions.
40
What are the main principles of the mental capacity act 2005?
1. Every adult has the right to make their own decisions and must be assumed to have capacity to so do unless it is proved otherwise.
2. Everyone should be encouraged and enabled to make their own decisions, or to participate as fully as possible in decision-making, by being given the help and support they need to make and express a choice
3. individuals must retain the right to make what might be seen as eccentric or unwise decision.
4. Decisions made on behalf of people without capacity should be made in their best interest, giving priority to achieving what they themselves would have wanted.
5. Decisions made on behalf of someone else should be those which are least restrictive of their basic rights and freedoms.
41
The fact that an individual can only retain information for a short period of time prevents them form being able to make a decision T/F?
False
42
What things should an individual be able to do when making a decision?
1. Understand what the medical treatment is, its nature and purpose and why its being proposed.
2. Understand its benefits, risks and alternatives
3. Understand the consequences of not receiving treatment
4. Retain the information for long enough to make an effective decision
5. Make a free choice
43
How can you maximise capacity?
- Appropriate timing and location
- Treating inhibiting conditions
- Diagrams
- Educational models
- Videos and audio
- Translators and interpreters
- Time
44
What is needed for a patient to be deemed to have capacity?
Patient needs to be able to:
1. Understand
2. Retain
3. Weigh up information
4. Communicate a decision
45
What factors can affect an individual's capacity to make particular decisions?
- Pain
- Fear
- Confusion
- Effects of medication
46
What 2 things are important about the assessment of capacity?
The assessment should be time and decision specific.
47
What is an advanced directive?
An advance directive that tells what medical treatment a person does or doesn't want if he/she is not able to make his/her wishes known.
48
What is a power of attorney?
A power of attorney is a legal document that allows someone to make decisions for you, or act on your behalf, if you're no longer able to or if you no longer want to make your own decisions.
49
What are the main principles of the mental capacity act 2005?
1. Every adult has the right to make their own decisions and must be assumed to have capacity to so do unless it is proved otherwise.
2. Everyone should be encouraged and enabled to make their own decisions, or to participate as fully as possible in decision-making, by being given the help and support they need to make and express a choice
3. individuals must retain the right to make what might be seen as eccentric or unwise decision.
4. Decisions made on behalf of people without capacity should be made in their best interest, giving priority to achieving what they themselves would have wanted.
5. Decisions made on behalf of someone else should be those which are least restrictive of their basic rights and freedoms.
50
The fact that an individual can only retain information for a short period of time prevents them form being able to make a decision T/F?
False
51
What things should an individual be able to do when making a decision?
1. Understand what the medical treatment is, its nature and purpose and why its being proposed.
2. Understand its benefits, risks and alternatives
3. Understand the consequences of not receiving treatment
4. Retain the information for long enough to make an effective decision
5. Make a free choice
52
How can you maximise capacity?
- Appropriate timing and location
- Treating inhibiting conditions
- Diagrams
- Educational models
- Videos and audio
- Translators and interpreters
- Time
53
What should be considered when a patient is not capacitous?
1. Is there a lasting power of attorney or advance decision?
2. Treat in patient's best interest
3. Is there anyone who can advocate the patient? - Independent mental capacity advocate
4. Document all assessments and rationale for conclusion/decision
54
What does the legal basis of best interest put weight on?
1. Past and present wishes and feelings
2. Beliefs and values likely to influence patients decisions
3. Other factors the patient would be likely to consider
55
What is needed for a patient to be deemed to have capacity?
Patient needs to be able to:
1. Understand
2. Retain
3. Weigh up information
4. Communicate a decision
56
What factors can affect an individual's capacity to make particular decisions?
- Pain
- Fear
- Confusion
- Effects of medication
57
What 2 things are important about the assessment of capacity?
The assessment should be time and decision specific.
58
What is an advanced directive?
An advance directive that tells what medical treatment a person does or doesn't want if he/she is not able to make his/her wishes known.
59
What is a power of attorney?
A power of attorney is a legal document that allows someone to make decisions for you, or act on your behalf, if you're no longer able to or if you no longer want to make your own decisions.
60
What are the main principles of the mental capacity act 2005?
1. Every adult has the right to make their own decisions and must be assumed to have capacity to so do unless it is proved otherwise.
2. Everyone should be encouraged and enabled to make their own decisions, or to participate as fully as possible in decision-making, by being given the help and support they need to make and express a choice
3. individuals must retain the right to make what might be seen as eccentric or unwise decision.
4. Decisions made on behalf of people without capacity should be made in their best interest, giving priority to achieving what they themselves would have wanted.
5. Decisions made on behalf of someone else should be those which are least restrictive of their basic rights and freedoms.
61
The fact that an individual can only retain information for a short period of time prevents them form being able to make a decision T/F?
False
62
What things should an individual be able to do when making a decision?
1. Understand what the medical treatment is, its nature and purpose and why its being proposed.
2. Understand its benefits, risks and alternatives
3. Understand the consequences of not receiving treatment
4. Retain the information for long enough to make an effective decision
5. Make a free choice
63
How can you maximise capacity?
- Appropriate timing and location
- Treating inhibiting conditions
- Diagrams
- Educational models
- Videos and audio
- Translators and interpreters
- Time
64
What should be considered when a patient is not capacitous?
1. Is there a lasting power of attorney or advance decision?
2. Treat in patient's best interest
3. Is there anyone who can advocate the patient? - Independent mental capacity advocate
4. Document all assessments and rationale for conclusion/decision
65
What does the legal basis of best interest put weight on?
1. Past and present wishes and feelings
2. Beliefs and values likely to influence patients decisions
3. Other factors the patient would be likely to consider
66
What is needed for a patient to be deemed to have capacity?
Patient needs to be able to:
1. Understand
2. Retain
3. Weigh up information
4. Communicate a decision
67
What factors can affect an individual's capacity to make particular decisions?
- Pain
- Fear
- Confusion
- Effects of medication
68
What 2 things are important about the assessment of capacity?
The assessment should be time and decision specific.
69
What is an advanced directive?
An advance directive that tells what medical treatment a person does or doesn't want if he/she is not able to make his/her wishes known.
70
What is a power of attorney?
A power of attorney is a legal document that allows someone to make decisions for you, or act on your behalf, if you're no longer able to or if you no longer want to make your own decisions.
71
What are the main principles of the mental capacity act 2005?
1. Every adult has the right to make their own decisions and must be assumed to have capacity to so do unless it is proved otherwise.
2. Everyone should be encouraged and enabled to make their own decisions, or to participate as fully as possible in decision-making, by being given the help and support they need to make and express a choice
3. individuals must retain the right to make what might be seen as eccentric or unwise decision.
4. Decisions made on behalf of people without capacity should be made in their best interest, giving priority to achieving what they themselves would have wanted.
5. Decisions made on behalf of someone else should be those which are least restrictive of their basic rights and freedoms.
72
The fact that an individual can only retain information for a short period of time prevents them form being able to make a decision T/F?
False
73
What things should an individual be able to do when making a decision?
1. Understand what the medical treatment is, its nature and purpose and why its being proposed.
2. Understand its benefits, risks and alternatives
3. Understand the consequences of not receiving treatment
4. Retain the information for long enough to make an effective decision
5. Make a free choice
74
How can you maximise capacity?
- Appropriate timing and location
- Treating inhibiting conditions
- Diagrams
- Educational models
- Videos and audio
- Translators and interpreters
- Time
75
What should be considered when a patient is not capacitous?
1. Is there a lasting power of attorney or advance decision?
2. Treat in patient's best interest
3. Is there anyone who can advocate the patient? - Independent mental capacity advocate
4. Document all assessments and rationale for conclusion/decision
76
What does the legal basis of best interest put weight on?
1. Past and present wishes and feelings
2. Beliefs and values likely to influence patients decisions
3. Other factors the patient would be likely to consider
77
What is needed for a patient to be deemed to have capacity?
Patient needs to be able to:
1. Understand
2. Retain
3. Weigh up information
4. Communicate a decision
78
What factors can affect an individual's capacity to make particular decisions?
- Pain
- Fear
- Confusion
- Effects of medication
79
What 2 things are important about the assessment of capacity?
The assessment should be time and decision specific.
80
What is an advanced directive?
An advance directive that tells what medical treatment a person does or doesn't want if he/she is not able to make his/her wishes known.
81
What is a power of attorney?
A power of attorney is a legal document that allows someone to make decisions for you, or act on your behalf, if you're no longer able to or if you no longer want to make your own decisions.
82
What are the main principles of the mental capacity act 2005?
1. Every adult has the right to make their own decisions and must be assumed to have capacity to so do unless it is proved otherwise.
2. Everyone should be encouraged and enabled to make their own decisions, or to participate as fully as possible in decision-making, by being given the help and support they need to make and express a choice
3. individuals must retain the right to make what might be seen as eccentric or unwise decision.
4. Decisions made on behalf of people without capacity should be made in their best interest, giving priority to achieving what they themselves would have wanted.
5. Decisions made on behalf of someone else should be those which are least restrictive of their basic rights and freedoms.
83
The fact that an individual can only retain information for a short period of time prevents them form being able to make a decision T/F?
False
84
What things should an individual be able to do when making a decision?
1. Understand what the medical treatment is, its nature and purpose and why its being proposed.
2. Understand its benefits, risks and alternatives
3. Understand the consequences of not receiving treatment
4. Retain the information for long enough to make an effective decision
5. Make a free choice
85
How can you maximise capacity?
- Appropriate timing and location
- Treating inhibiting conditions
- Diagrams
- Educational models
- Videos and audio
- Translators and interpreters
- Time
86
What should be considered when a patient is not capacitous?
1. Is there a lasting power of attorney or advance decision?
2. Treat in patient's best interest
3. Is there anyone who can advocate the patient? - Independent mental capacity advocate
4. Document all assessments and rationale for conclusion/decision
87
What does the legal basis of best interest put weight on?
1. Past and present wishes and feelings
2. Beliefs and values likely to influence patients decisions
3. Other factors the patient would be likely to consider
88
What is needed for a patient to be deemed to have capacity?
Patient needs to be able to:
1. Understand
2. Retain
3. Weigh up information
4. Communicate a decision
89
What factors can affect an individual's capacity to make particular decisions?
- Pain
- Fear
- Confusion
- Effects of medication
90
What 2 things are important about the assessment of capacity?
The assessment should be time and decision specific.
91
What is an advanced directive?
An advance directive that tells what medical treatment a person does or doesn't want if he/she is not able to make his/her wishes known.
92
What is a power of attorney?
A power of attorney is a legal document that allows someone to make decisions for you, or act on your behalf, if you're no longer able to or if you no longer want to make your own decisions.
93
What are the main principles of the mental capacity act 2005?
1. Every adult has the right to make their own decisions and must be assumed to have capacity to so do unless it is proved otherwise.
2. Everyone should be encouraged and enabled to make their own decisions, or to participate as fully as possible in decision-making, by being given the help and support they need to make and express a choice
3. individuals must retain the right to make what might be seen as eccentric or unwise decision.
4. Decisions made on behalf of people without capacity should be made in their best interest, giving priority to achieving what they themselves would have wanted.
5. Decisions made on behalf of someone else should be those which are least restrictive of their basic rights and freedoms.
94
The fact that an individual can only retain information for a short period of time prevents them form being able to make a decision T/F?
False
95
What things should an individual be able to do when making a decision?
1. Understand what the medical treatment is, its nature and purpose and why its being proposed.
2. Understand its benefits, risks and alternatives
3. Understand the consequences of not receiving treatment
4. Retain the information for long enough to make an effective decision
5. Make a free choice
96
How can you maximise capacity?
- Appropriate timing and location
- Treating inhibiting conditions
- Diagrams
- Educational models
- Videos and audio
- Translators and interpreters
- Time
97
What should be considered when a patient is not capacitous?
1. Is there a lasting power of attorney or advance decision?
2. Treat in patient's best interest
3. Is there anyone who can advocate the patient? - Independent mental capacity advocate
4. Document all assessments and rationale for conclusion/decision
98
What does the legal basis of best interest put weight on?
1. Past and present wishes and feelings
2. Beliefs and values likely to influence patients decisions
3. Other factors the patient would be likely to consider
99
What is needed for a patient to be deemed to have capacity?
Patient needs to be able to:
1. Understand
2. Retain
3. Weigh up information
4. Communicate a decision
100
What factors can affect an individual's capacity to make particular decisions?
- Pain
- Fear
- Confusion
- Effects of medication
101
What 2 things are important about the assessment of capacity?
The assessment should be time and decision specific.
102
What is an advanced directive?
An advance directive that tells what medical treatment a person does or doesn't want if he/she is not able to make his/her wishes known.
103
What is a power of attorney?
A power of attorney is a legal document that allows someone to make decisions for you, or act on your behalf, if you're no longer able to or if you no longer want to make your own decisions.
104
What are the main principles of the mental capacity act 2005?
1. Every adult has the right to make their own decisions and must be assumed to have capacity to so do unless it is proved otherwise.
2. Everyone should be encouraged and enabled to make their own decisions, or to participate as fully as possible in decision-making, by being given the help and support they need to make and express a choice
3. individuals must retain the right to make what might be seen as eccentric or unwise decision.
4. Decisions made on behalf of people without capacity should be made in their best interest, giving priority to achieving what they themselves would have wanted.
5. Decisions made on behalf of someone else should be those which are least restrictive of their basic rights and freedoms.
105
The fact that an individual can only retain information for a short period of time prevents them form being able to make a decision T/F?
False
106
What things should an individual be able to do when making a decision?
1. Understand what the medical treatment is, its nature and purpose and why its being proposed.
2. Understand its benefits, risks and alternatives
3. Understand the consequences of not receiving treatment
4. Retain the information for long enough to make an effective decision
5. Make a free choice
107
How can you maximise capacity?
- Appropriate timing and location
- Treating inhibiting conditions
- Diagrams
- Educational models
- Videos and audio
- Translators and interpreters
- Time
108
What should be considered when a patient is not capacitous?
1. Is there a lasting power of attorney or advance decision?
2. Treat in patient's best interest
3. Is there anyone who can advocate the patient? - Independent mental capacity advocate
4. Document all assessments and rationale for conclusion/decision
109
What does the legal basis of best interest put weight on?
1. Past and present wishes and feelings
2. Beliefs and values likely to influence patients decisions
3. Other factors the patient would be likely to consider
110
What is needed for a patient to be deemed to have capacity?
Patient needs to be able to:
1. Understand
2. Retain
3. Weigh up information
4. Communicate a decision
111
What factors can affect an individual's capacity to make particular decisions?
- Pain
- Fear
- Confusion
- Effects of medication
112
What 2 things are important about the assessment of capacity?
The assessment should be time and decision specific.
113
What is an advanced directive?
An advance directive that tells what medical treatment a person does or doesn't want if he/she is not able to make his/her wishes known.
114
What is a power of attorney?
A power of attorney is a legal document that allows someone to make decisions for you, or act on your behalf, if you're no longer able to or if you no longer want to make your own decisions.
115
What are the main principles of the mental capacity act 2005?
1. Every adult has the right to make their own decisions and must be assumed to have capacity to so do unless it is proved otherwise.
2. Everyone should be encouraged and enabled to make their own decisions, or to participate as fully as possible in decision-making, by being given the help and support they need to make and express a choice
3. individuals must retain the right to make what might be seen as eccentric or unwise decision.
4. Decisions made on behalf of people without capacity should be made in their best interest, giving priority to achieving what they themselves would have wanted.
5. Decisions made on behalf of someone else should be those which are least restrictive of their basic rights and freedoms.
116
The fact that an individual can only retain information for a short period of time prevents them form being able to make a decision T/F?
False
117
What things should an individual be able to do when making a decision?
1. Understand what the medical treatment is, its nature and purpose and why its being proposed.
2. Understand its benefits, risks and alternatives
3. Understand the consequences of not receiving treatment
4. Retain the information for long enough to make an effective decision
5. Make a free choice
118
How can you maximise capacity?
- Appropriate timing and location
- Treating inhibiting conditions
- Diagrams
- Educational models
- Videos and audio
- Translators and interpreters
- Time
119
What should be considered when a patient is not capacitous?
1. Is there a lasting power of attorney or advance decision?
2. Treat in patient's best interest
3. Is there anyone who can advocate the patient? - Independent mental capacity advocate
4. Document all assessments and rationale for conclusion/decision
120
What does the legal basis of best interest put weight on?
1. Past and present wishes and feelings
2. Beliefs and values likely to influence patients decisions
3. Other factors the patient would be likely to consider
121
What is needed for a patient to be deemed to have capacity?
Patient needs to be able to:
1. Understand
2. Retain
3. Weigh up information
4. Communicate a decision
122
What factors can affect an individual's capacity to make particular decisions?
- Pain
- Fear
- Confusion
- Effects of medication
123
What 2 things are important about the assessment of capacity?
The assessment should be time and decision specific.
124
What is an advanced directive?
An advance directive that tells what medical treatment a person does or doesn't want if he/she is not able to make his/her wishes known.
125
What is a power of attorney?
A power of attorney is a legal document that allows someone to make decisions for you, or act on your behalf, if you're no longer able to or if you no longer want to make your own decisions.
126
What are the main principles of the mental capacity act 2005?
1. Every adult has the right to make their own decisions and must be assumed to have capacity to so do unless it is proved otherwise.
2. Everyone should be encouraged and enabled to make their own decisions, or to participate as fully as possible in decision-making, by being given the help and support they need to make and express a choice
3. individuals must retain the right to make what might be seen as eccentric or unwise decision.
4. Decisions made on behalf of people without capacity should be made in their best interest, giving priority to achieving what they themselves would have wanted.
5. Decisions made on behalf of someone else should be those which are least restrictive of their basic rights and freedoms.
127
The fact that an individual can only retain information for a short period of time prevents them form being able to make a decision T/F?
False
128
What things should an individual be able to do when making a decision?
1. Understand what the medical treatment is, its nature and purpose and why its being proposed.
2. Understand its benefits, risks and alternatives
3. Understand the consequences of not receiving treatment
4. Retain the information for long enough to make an effective decision
5. Make a free choice
129
How can you maximise capacity?
- Appropriate timing and location
- Treating inhibiting conditions
- Diagrams
- Educational models
- Videos and audio
- Translators and interpreters
- Time
130
What should be considered when a patient is not capacitous?
1. Is there a lasting power of attorney or advance decision?
2. Treat in patient's best interest
3. Is there anyone who can advocate the patient? - Independent mental capacity advocate
4. Document all assessments and rationale for conclusion/decision
131
What does the legal basis of best interest put weight on?
1. Past and present wishes and feelings
2. Beliefs and values likely to influence patients decisions
3. Other factors the patient would be likely to consider
