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Checklist for Capacity to Make Treatment Decisions
Sep 27, 2014
•
Mark Morgan
categories:
Geriatrics & Longevity
Checklist for Capacity to Make Treatment Decisions
Part 1: Factual Understanding of Issues
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<-- What is wrong with you (or what illness do you have)?
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<-- What are the treatment or tests recommended for you?
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<-- What are the treatments supposed to do for you?
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<-- What might happen with the treatment that you do not want to happen?
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<-- What else could be done for your illness/problem (pros/cons)?
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<-- You mentioned that your doctor told you about risks with treatment – how likely do you think it is that the risks might occur?
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<-- Why is your doctor giving you all this information?
Part 2: Appreciation of Consequences
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<-- Explain what you believe is wrong with your health.
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<-- Do you believe you need treatment? What is treatment likely to do for you?
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<-- What do you believe will happen if you are not treated?
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<-- Why do you think your doctor has recommended specific treatment for you?
Part 3: Rational Manipulation of Information
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<-- Tell me how you reached the decision to accept or reject the recommended treatment?
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<-- What were the things that were important in reaching your decision?
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<-- How did you balance the pluses and minuses?
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Comments/Discussion
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reference:
#1
Appelbaum PS, Grisso T. Assessing patients capacities to consent to treatment. N Engl J Med. 1988 Dec 22;319(25):1635-8.
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