Capacity - Revision history

Mholtz at 22:01, 9 May 2017

2017-05-09T22:01:43Z

← Older revision		Revision as of 22:01, 9 May 2017
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	*Capacity is the ability to understand the nature and effect of one’s acts		*Capacity is the ability to understand the nature and effect of one’s acts
	**May have capacity in one moment and lack capacity in another		**May have capacity in one moment and lack capacity in another
	**Does the patient have the ability to understand the nature and effect of his or her acts in a specific moment in time?		*Main question to consider is "does the patient have the ability to understand the nature and effect of his or her acts in a specific moment in time?"
	*The level of capacity needed to enter into legal documents, such as a durable power of attorney, contract, or a will, differs based upon the type of transaction		*[[Mini mental status exam]] (MMSE) score <19 is correlated with lack of capacity
	*Use to consent to medical procedures		*Patients who lack capacity may not make their own medical decisions.
	*[[Mini mental status exam]] (MMSE) <19 ~~are~~ correlated with lack of capacity

	==~~Application==~~		==Components==
	*For medical consent, does the patient have the ability to:
	**Communicate
	**Understand the medical procedure
	***Understand a description of the procedure, its risks, its benefits, and its alternatives?
	**Voluntarily consent?
	**Give consent because he or she is competent?

	~~==Four~~ Components==
	*Must have all four criterion to achieve capacity<ref> Appelbaum PS. N Engl J Med 2007;357:1834-40</ref>		*Must have all four criterion to achieve capacity<ref> Appelbaum PS. N Engl J Med 2007;357:1834-40</ref>
	#Criterion 1 - communicate a choice		*Criterion 1 - communicate a choice
	#*Clearly demonstrate preference for a treatment option		**Clearly demonstrate preference for a treatment option
	#*Reversals of choice due to altered mental status or psychiatric disease suggests lack of capacity		**Reversals of choice due to altered mental status or psychiatric disease suggests lack of capacity
	#Criterion 2 - understand relevant information		*Criterion 2 - understand relevant information
	#*Grasp fundamental understanding of information communicated by physician		**Grasp fundamental understanding of information communicated by physician
	#*Must understand condition, purpose of treatment, benefits/risks of treatment, and alternatives		**Must understand condition, purpose of treatment, benefits/risks of treatment, and alternatives
	#Criterion 3 - appreciate situation and its consequences		*Criterion 3 - appreciate situation and its consequences
	#*Acknowledge medical condition (no denial, delusions)		**Acknowledge medical condition (no denial, delusions)
	#*No acknowledgement termed "lack of insight"		**No acknowledgement termed "lack of insight"
	#**"What do you believe is wrong with your health now?"		***"What do you believe is wrong with your health now?"
	#**"Do you believe that you will need treatment to make your health better?"		***"Do you believe that you will need treatment to make your health better?"
	#**"What do you believe will happen if you are not treated?"		***"What do you believe will happen if you are not treated?"
	#**"Why do you think doctors recommend this treatment?"		***"Why do you think doctors recommend this treatment?"
	#Criterion 4 - reason about treatment options		*Criterion 4 - reason about treatment options
	#*Demonstrate rational processing of relevant information communicated by physician		**Demonstrate rational processing of relevant information communicated by physician
	#**"What makes treatment 1 better than treatment 2?"		***"What makes treatment 1 better than treatment 2?"
	#**"How did you decide to accept or reject recommended treatments?"		***"How did you decide to accept or reject recommended treatments?"

	==See Also==		==See Also==

Rossdonaldson1: Text replacement - "AMS" to "altered mental status"

2016-07-31T14:23:59Z

Text replacement - "AMS" to "altered mental status"

← Older revision		Revision as of 14:23, 31 July 2016
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	#Criterion 1 - communicate a choice		#Criterion 1 - communicate a choice
	#*Clearly demonstrate preference for a treatment option		#*Clearly demonstrate preference for a treatment option
	#*Reversals of choice due to ~~AMS~~ or psychiatric disease suggests lack of capacity		#*Reversals of choice due to altered mental status or psychiatric disease suggests lack of capacity
	#Criterion 2 - understand relevant information		#Criterion 2 - understand relevant information
	#*Grasp fundamental understanding of information communicated by physician		#*Grasp fundamental understanding of information communicated by physician

Mholtz at 21:23, 22 July 2015

2015-07-22T21:23:04Z

← Older revision		Revision as of 21:23, 22 July 2015
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	#**"How did you decide to accept or reject recommended treatments?"		#**"How did you decide to accept or reject recommended treatments?"

	==Also ~~See~~==		==See Also==
	*[[Competence]]		*[[Competence]]
	*[[Emancipated minor]]		*[[Emancipated minor]]

Mholtz: Added reference section header

2015-07-22T21:22:30Z

Added reference section header

← Older revision		Revision as of 21:22, 22 July 2015
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	*[[Competence]]		*[[Competence]]
	*[[Emancipated minor]]		*[[Emancipated minor]]

			==References==
			<references/>

	[[Category:Misc/General]]		[[Category:Misc/General]]

	~~<references/>~~

Kxl328 at 19:40, 22 July 2015

2015-07-22T19:40:30Z

← Older revision		Revision as of 19:40, 22 July 2015
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	#*Acknowledge medical condition (no denial, delusions)		#*Acknowledge medical condition (no denial, delusions)
	#*No acknowledgement termed "lack of insight"		#*No acknowledgement termed "lack of insight"
	##*"What do you believe is wrong with your health now?"		#**"What do you believe is wrong with your health now?"
	##*"Do you believe that you will need treatment to make your health better?"		#**"Do you believe that you will need treatment to make your health better?"
	##*"What do you believe will happen if you are not treated?"		#**"What do you believe will happen if you are not treated?"
	##*"Why do you think doctors recommend this treatment?"		#**"Why do you think doctors recommend this treatment?"
	#Criterion 4 - reason about treatment options		#Criterion 4 - reason about treatment options
	#*Demonstrate rational processing of relevant information communicated by physician		#*Demonstrate rational processing of relevant information communicated by physician
	##*"What makes treatment 1 better than treatment 2?"		#**"What makes treatment 1 better than treatment 2?"
	##*"How did you decide to accept or reject recommended treatments?"		#**"How did you decide to accept or reject recommended treatments?"

	==Also See==		==Also See==

Kxl328 at 19:39, 22 July 2015

2015-07-22T19:39:43Z

← Older revision		Revision as of 19:39, 22 July 2015
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	[[Category:Misc/General]]		[[Category:Misc/General]]

			<references/>

Kxl328: /* Application */

2015-07-22T19:39:08Z

Application

@@ Line 14: / Line 14: @@
 **Voluntarily consent?
 **Give consent because he or she is competent?
 ==Also See==

Neil.m.young at 11:16, 5 July 2015

2015-07-05T11:16:44Z

← Older revision		Revision as of 11:16, 5 July 2015
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	==Application==		==Application==
	*~~Medical Consent: Does~~ the patient have the ability to:		*For medical consent, does the patient have the ability to:
	**Communicate		**Communicate
	**Understand the medical procedure		**Understand the medical procedure
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	**Voluntarily consent?		**Voluntarily consent?
	**Give consent because he or she is competent?		**Give consent because he or she is competent?


	==Also See==		==Also See==

Neil.m.young at 11:16, 5 July 2015

2015-07-05T11:16:09Z

← Older revision		Revision as of 11:16, 5 July 2015
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	==Background==		==Background==
	*Capacity - the ability to understand the nature and effect of one’s acts		*Capacity is the ability to understand the nature and effect of one’s acts
	**May have capacity in one moment and lack capacity in another		**May have capacity in one moment and lack capacity in another
	**Does the patient have the ability to understand the nature and effect of his or her acts in a specific moment in time?		**Does the patient have the ability to understand the nature and effect of his or her acts in a specific moment in time?
	*The level of capacity needed to enter into legal documents, such as a durable power of attorney, contract, or a will, differs based upon the type of transaction.		*The level of capacity needed to enter into legal documents, such as a durable power of attorney, contract, or a will, differs based upon the type of transaction
	*Use to consent to medical procedures		*Use to consent to medical procedures
	*[[Mini mental status exam]] (MMSE) <19 are correlated with lack of capacity		*[[Mini mental status exam]] (MMSE) <19 are correlated with lack of capacity

Neil.m.young at 11:14, 5 July 2015

2015-07-05T11:14:36Z

← Older revision		Revision as of 11:14, 5 July 2015
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	==Also See==		==Also See==
	*[[Competence]]		*[[Competence]]
			*[[Emancipated minor]]

	[[Category:Misc/General]]		[[Category:Misc/General]]