Assessing Decision-Making Capacity: A Primer for the Development of Hospital Practice Guidelines

HEC Forum 26 (2):159-168 (2014)
Authors
Dominic Sisti
University of Pennsylvania
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 considerations
Keywords Capacity  Psychiatry  Bioethics  Clinical bioethics  Ethics committees  Competence  Informed consent
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DOI 10.1007/s10730-014-9234-8
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Developing Effective Ethics Policy.Anne Lederman Flamm - 2012 - In D. Micah Hester & Toby Schonfeld (eds.), Guidance for Healthcare Ethics Committees. Cambridge University Press.

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