Mental Capacity Act (2005) & DOLS (2007)

Question 1

If an advance decision exists that records the patient’s wishes not to be resuscitated it must be followed

Answer 1

Only if it is applicable and specific to the circumstances of the collapse

Question 2

In order to be valid, a Do Not Attempt Resuscitation Order must include the following:

Answer 2

• Be written, placed in the medical record and signed by the medical consultant responsible for the patients care
• Be reviewed if the patient’s condition changes
• A discussion with the patient
• Ideally involve discussion with those close to the patient (family)

Question 3

Under the Mental Capacity Act in what situation should a Deprivation of Liberty Safeguard order be applied for?

Answer 3

It is necessary to deprive of their liberty a resident or patient who lacks capacity to consent to their care and treatment in order to keep them safe from harm

Question 4

Who do care homes and hospitals have to apply to for an authorisation under the DOLS guidelines?

Answer 4

The Local Authority

Question 5

When considering using restraint which factors must be considered under the MCA 2005?

Answer 5

Use the least restrictive method