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Who is ultimately responsible for determining whether a patient has a decision-making capacity?

A psychologist/neuropsychologist can have two roles in this regard: (a) he/she may be the clinical care provider and assessing the patients capacity for the clinical procedures he/she is initiating in that role or (b) he/she may be acting as a consultant for another clinician, that is, asked to provide an expert

What are the four elements of capacity?

Four Component Model of Decisional Capacity. Capacity for healthcare is generally defined in terms of four dimensions or criteria: (a) Understanding, (b) Appreciation, (c) Reasoning, and (d) Expression of a Choice (Grisso Appelbaum, 1998a; Roth, Meisel, Lidz, 1977).

How is capacity determined?

Determining whether an individual has adequate capacity to make decisions is therefore an inherent aspect of all clinician-patient interactions. The main determinant of capacity is cognition, and any condition or treatment that affects cognition may potentially impair decision-making capacity.

What is capacity in ethics?

The capacity to make ones own decisions is fundamental to the ethical principle of respect for autonomy and is a key component of informed consent to medical treatment. Determining whether an individual has adequate capacity to make decisions is therefore an inherent aspect of all clinician-patient interactions.

Who determines if a patient has capacity?

Information from references 1, 4 and 11. Regardless of whether a directed clinical interview or a formal tool is used, the physician must clearly document the assessment and the final judgment about capacity in the patient record.

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