Assessing Decision-Making Capacity: A Primer for the Development of Hospital Practice Guidelines
HEC Forum 26 (2):159-168 (2014)
Abstract
Decision making capacity (DMC) is a fundamental concept grounding the principle of respect for autonomy and the practice of obtaining informed consent. DMC must be determined and documented every time a patient undergoes a hospital procedure and for routine care when there is reason to believe decision making ability is compromised. In this paper we explore a path toward ethically informed development and implementation of a hospital policy related to DMC assessment. We begin with a review of the context of DMC assessment before discussing some considerations relevant to policy creation by healthcare ethics committees. The discussion concludes in a presentation of a typology of capacity assessment policies, which draws upon a sampling of currently used hospital policies to illustrate relevant ethical considerationsAuthor's Profile
DOI
10.1007/s10730-014-9234-8
My notes
Similar books and articles
The Conflation of Competence and Capacity in English Medical Law: A Philosophical Critique. [REVIEW]Philip Bielby - 2005 - Medicine, Health Care and Philosophy 8 (3):357-369.
Informed Consent: A Primer for Clinical Practice.Deborah Bowman - 2011 - Cambridge University Press.
Assessing Capacity to Make Decisions about Long-term Care Needs: Ethical Perspectives and Practical Challenges in Hospital Social Work.Martin Sexton - 2012 - Ethics and Social Welfare 6 (4):411-417.
Competence in health care: an abilities-based versus a pathology-based approach.Gerben Meynen & Guy Widdershoven - 2012 - Clinical Ethics 7 (1):39-44.
Handbook for Health Care Ethics Committees.Linda Farber Post - 2007 - Baltimore: Johns Hopkins University Press.
How is informed consent related to emotions and empathy? An exploratory neuroethical investigation.Alexander Supady, Antonie Voelkel, Joachim Witzel, Udo Gubka & Georg Northoff - 2011 - Journal of Medical Ethics 37 (5):311-317.
Making decisions about life-sustaining medical treatment in patients with dementia.Arthur R. Derse - 1999 - Theoretical Medicine and Bioethics 20 (1):55-67.
Depression and decision-making capacity for treatment or research: a systematic review.Thomas Hindmarch, Matthew Hotopf & Gareth S. Owen - 2013 - BMC Medical Ethics 14 (1):54.
Mental capacity and the applied phenomenology of judgement.Wayne Martin & Ryan Hickerson - 2013 - Phenomenology and the Cognitive Sciences 12 (1):195-214.
Patient Capacity in Mental Health Care: Legal Overview. [REVIEW]Herman Nys, Sander Welie, Tina Garanis-Papadatos & Dimitris Ploumpidis - 2004 - Health Care Analysis 12 (4):329-337.
Hospital Clinical Ethics Committees. The Geneva Experience - Switzerland.Jean-Claude Chevrolet & Bara Ricou - 2009 - Diametros 22:21-38.
Lay concepts in informed consent to biomedical research: The capacity to understand and appreciate risk.Ana Iltis - 2006 - Bioethics 20 (4):180–190.
When concretized emotion-belief complexes derail decision-making capacity.Jodi Halpern - 2012 - Bioethics 26 (2):108-116.
Analytics
Added to PP
2014-01-13
Downloads
26 (#449,520)
6 months
2 (#300,644)
2014-01-13
Downloads
26 (#449,520)
6 months
2 (#300,644)
Historical graph of downloads
Author's Profile
Citations of this work
The development of a clinical policy ethics assessment tool.Diego José Garcia-Capilla, Alfonso Rubio-Navarro, Maria José Torralba-Madrid & Jane Rutty - 2019 - Nursing Ethics 26 (7-8):2259-2277.
References found in this work
Competence to Make Treatment Decisions in Anorexia Nervosa: Thinking Processes and Values.Jacinta Tan, Anne Stewart, Ray Fitzpatrick & R. A. Hope - 2007 - Philosophy, Psychiatry, and Psychology 13 (4):267-282.
Competence to make treatment decisions in anorexia nervosa: thinking processes and values.Jacinta Oa Tan, Tony Hope, Anne Stewart & Raymond Fitzpatrick - 2006 - Philosophy, Psychiatry, and Psychology: Ppp 13 (4):267.
Developing effective ethics policy.Anne Lederman Flamm - 2012 - In D. Micah Hester & Toby Schonfeld (eds.), Guidance for Healthcare Ethics Committees. Cambridge University Press.