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PPD > Assessing Capacity > Flashcards

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.
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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.
How well did you know this?
1
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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.
How well did you know this?
1
Not at all
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5
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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.
How well did you know this?
1
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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.
How well did you know this?
1
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2
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4
5
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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.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.
How well did you know this?
1
Not at all
2
3
4
5
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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.
How well did you know this?
1
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3
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5
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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.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.
How well did you know this?
1
Not at all
2
3
4
5
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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.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.
How well did you know this?
1
Not at all
2
3
4
5
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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.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.
How well did you know this?
1
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5
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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.
How well did you know this?
1
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16
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
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17
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
How well did you know this?
1
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18
Q

What factors can affect an individual’s capacity to make particular decisions?

A
  • Pain
  • Fear
  • Confusion
  • Effects of medication
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19
Q

What 2 things are important about the assessment of capacity?

A

The assessment should be time and decision specific.

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20
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What factors can affect an individual’s capacity to make particular decisions?

A
  • Pain
  • Fear
  • Confusion
  • Effects of medication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What 2 things are important about the assessment of capacity?

A

The assessment should be time and decision specific.

How well did you know this?
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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.

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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.

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25
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What factors can affect an individual’s capacity to make particular decisions?

A
  • Pain
  • Fear
  • Confusion
  • Effects of medication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What 2 things are important about the assessment of capacity?

A

The assessment should be time and decision specific.

How well did you know this?
1
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28
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
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.

How well did you know this?
1
Not at all
2
3
4
5
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30
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What factors can affect an individual’s capacity to make particular decisions?

A
  • Pain
  • Fear
  • Confusion
  • Effects of medication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What 2 things are important about the assessment of capacity?

A

The assessment should be time and decision specific.

How well did you know this?
1
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2
3
4
5
Perfectly
33
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What factors can affect an individual’s capacity to make particular decisions?

A
  • Pain
  • Fear
  • Confusion
  • Effects of medication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What 2 things are important about the assessment of capacity?

A

The assessment should be time and decision specific.

How well did you know this?
1
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2
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38
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

What are the main principles of the mental capacity act 2005?

A
  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.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

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?

A

False

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42
Q

What things should an individual be able to do when making a decision?

A
  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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

How can you maximise capacity?

A
  • Appropriate timing and location
  • Treating inhibiting conditions
  • Diagrams
  • Educational models
  • Videos and audio
  • Translators and interpreters
  • Time
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

What factors can affect an individual’s capacity to make particular decisions?

A
  • Pain
  • Fear
  • Confusion
  • Effects of medication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

What 2 things are important about the assessment of capacity?

A

The assessment should be time and decision specific.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

What are the main principles of the mental capacity act 2005?

A
  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.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

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?

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

What things should an individual be able to do when making a decision?

A
  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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

How can you maximise capacity?

A
  • Appropriate timing and location
  • Treating inhibiting conditions
  • Diagrams
  • Educational models
  • Videos and audio
  • Translators and interpreters
  • Time
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

What should be considered when a patient is not capacitous?

A
  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
Q

What does the legal basis of best interest put weight on?

A
  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
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
56
Q

What factors can affect an individual’s capacity to make particular decisions?

A
  • Pain
  • Fear
  • Confusion
  • Effects of medication
57
Q

What 2 things are important about the assessment of capacity?

A

The assessment should be time and decision specific.

58
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.

59
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.

60
Q

What are the main principles of the mental capacity act 2005?

A
  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
Q

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?

A

False

62
Q

What things should an individual be able to do when making a decision?

A
  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
Q

How can you maximise capacity?

A
  • Appropriate timing and location
  • Treating inhibiting conditions
  • Diagrams
  • Educational models
  • Videos and audio
  • Translators and interpreters
  • Time
64
Q

What should be considered when a patient is not capacitous?

A
  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
Q

What does the legal basis of best interest put weight on?

A
  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
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
67
Q

What factors can affect an individual’s capacity to make particular decisions?

A
  • Pain
  • Fear
  • Confusion
  • Effects of medication
68
Q

What 2 things are important about the assessment of capacity?

A

The assessment should be time and decision specific.

69
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.

70
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.

71
Q

What are the main principles of the mental capacity act 2005?

A
  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
Q

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?

A

False

73
Q

What things should an individual be able to do when making a decision?

A
  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
Q

How can you maximise capacity?

A
  • Appropriate timing and location
  • Treating inhibiting conditions
  • Diagrams
  • Educational models
  • Videos and audio
  • Translators and interpreters
  • Time
75
Q

What should be considered when a patient is not capacitous?

A
  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
Q

What does the legal basis of best interest put weight on?

A
  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
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
78
Q

What factors can affect an individual’s capacity to make particular decisions?

A
  • Pain
  • Fear
  • Confusion
  • Effects of medication
79
Q

What 2 things are important about the assessment of capacity?

A

The assessment should be time and decision specific.

80
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.

81
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.

82
Q

What are the main principles of the mental capacity act 2005?

A
  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
Q

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?

A

False

84
Q

What things should an individual be able to do when making a decision?

A
  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
Q

How can you maximise capacity?

A
  • Appropriate timing and location
  • Treating inhibiting conditions
  • Diagrams
  • Educational models
  • Videos and audio
  • Translators and interpreters
  • Time
86
Q

What should be considered when a patient is not capacitous?

A
  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
Q

What does the legal basis of best interest put weight on?

A
  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
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
89
Q

What factors can affect an individual’s capacity to make particular decisions?

A
  • Pain
  • Fear
  • Confusion
  • Effects of medication
90
Q

What 2 things are important about the assessment of capacity?

A

The assessment should be time and decision specific.

91
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.

92
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.

93
Q

What are the main principles of the mental capacity act 2005?

A
  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
Q

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?

A

False

95
Q

What things should an individual be able to do when making a decision?

A
  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
Q

How can you maximise capacity?

A
  • Appropriate timing and location
  • Treating inhibiting conditions
  • Diagrams
  • Educational models
  • Videos and audio
  • Translators and interpreters
  • Time
97
Q

What should be considered when a patient is not capacitous?

A
  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
Q

What does the legal basis of best interest put weight on?

A
  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
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
100
Q

What factors can affect an individual’s capacity to make particular decisions?

A
  • Pain
  • Fear
  • Confusion
  • Effects of medication
101
Q

What 2 things are important about the assessment of capacity?

A

The assessment should be time and decision specific.

102
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.

103
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.

104
Q

What are the main principles of the mental capacity act 2005?

A
  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
Q

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?

A

False

106
Q

What things should an individual be able to do when making a decision?

A
  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
Q

How can you maximise capacity?

A
  • Appropriate timing and location
  • Treating inhibiting conditions
  • Diagrams
  • Educational models
  • Videos and audio
  • Translators and interpreters
  • Time
108
Q

What should be considered when a patient is not capacitous?

A
  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
Q

What does the legal basis of best interest put weight on?

A
  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
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
111
Q

What factors can affect an individual’s capacity to make particular decisions?

A
  • Pain
  • Fear
  • Confusion
  • Effects of medication
112
Q

What 2 things are important about the assessment of capacity?

A

The assessment should be time and decision specific.

113
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.

114
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.

115
Q

What are the main principles of the mental capacity act 2005?

A
  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
Q

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?

A

False

117
Q

What things should an individual be able to do when making a decision?

A
  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
Q

How can you maximise capacity?

A
  • Appropriate timing and location
  • Treating inhibiting conditions
  • Diagrams
  • Educational models
  • Videos and audio
  • Translators and interpreters
  • Time
119
Q

What should be considered when a patient is not capacitous?

A
  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
Q

What does the legal basis of best interest put weight on?

A
  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
Q

What is needed for a patient to be deemed to have capacity?

A

Patient needs to be able to:

  1. Understand
  2. Retain
  3. Weigh up information
  4. Communicate a decision
122
Q

What factors can affect an individual’s capacity to make particular decisions?

A
  • Pain
  • Fear
  • Confusion
  • Effects of medication
123
Q

What 2 things are important about the assessment of capacity?

A

The assessment should be time and decision specific.

124
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.

125
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.

126
Q

What are the main principles of the mental capacity act 2005?

A
  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
Q

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?

A

False

128
Q

What things should an individual be able to do when making a decision?

A
  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
Q

How can you maximise capacity?

A
  • Appropriate timing and location
  • Treating inhibiting conditions
  • Diagrams
  • Educational models
  • Videos and audio
  • Translators and interpreters
  • Time
130
Q

What should be considered when a patient is not capacitous?

A
  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
Q

What does the legal basis of best interest put weight on?

A
  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

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