Aid To Capacity bEvaluationb ACE - Joint Centre for Bioethics - jcb utoronto 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the patient's name at the top of the form. This is essential for identifying the individual being assessed.
  3. Proceed to evaluate the patient's understanding of their medical problem. Use open-ended questions from the ACE sample questions section, and record their responses in the observations area.
  4. Next, assess their understanding of proposed treatment options. Again, utilize sample questions and document their answers accurately.
  5. Continue with evaluating alternatives to treatment and options for refusing treatment. Ensure you capture any relevant observations that support your scoring.
  6. Finally, assess the consequences of accepting or refusing treatment. Use the provided sample questions to guide your evaluation and note down observations.
  7. Complete the overall impression section based on your assessments, marking whether the patient is definitely capable, probably capable, probably incapable, or definitely incapable.

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Thus, any licensed physician, physician assistant, or nurse practitioner can and should be able to assess and determine capacity. The foundation of this assessment is the mental status exam (MSE); one cannot determine capacity without this.
FCEs are generally administered by physical or occupational therapists trained to take the appropriate measurements.
In the codes of practice, the people who decide whether or not a person has the capacity to make a particular decision are referred to as assessors. This is not a formal legal title. Assessors can be anyone for example, family members, a care worker, a care service manager, a nurse, a doctor or a social worker.
Communication Aid for Capacity Evaluation (CACE) D., developed and tested CACE, a communicatively accessible capacity evaluation process to help health care professionals determine whether or not people living with communication barriers have the capacity to decide where they shall live.
A functional capacity evaluation (FCE) is a set of tests that are used to identify a persons physical skills, functional capabilities, activity endurance, and work tolerances. The FCE is a 6-to-8-hour evaluation that is administered over two days by an occupational therapist or physical therapist.
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This article presents a mnemonic (CURVES: Choose and Communicate, Understand, Reason, Value, Emergency, Surrogate) that addresses the abilities a patient must possess in order to have decision-making capacity, as well as the essentials of emergency treatment.
A Capacity Assessment involves assessing two branches: (1) the patients ability to understand the information that is relevant to making a decision about the treatment, and (2) the patients ability to appreciate the reasonably foreseeable consequences of a decision or lack of a decision.

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