Tools for testing decision-making capacity in dementia

Age and Ageing
Catherine PenningtonPatrick Gavin Kehoe

Abstract

dementia is a common cause of altered decision-making capacity. Determining whether an individual has the ability to make a specific decision can be very challenging for both clinicians and researchers. The UK legislation requires that we both promote residual capacity where possible, and protect vulnerable adults who cannot make independent decisions. We evaluated published instruments designed to aid in the assessment of capacity, focussing on those meeting the UK legal requirements. We also consider further disease and culture-specific factors which may influence decision making. a search of electronic databases was made for articles published between 2000 and 2017 detailing structured tools for the assessment of mental capacity. These were evaluated against the UK legal requirements. nine tools were identified which fulfilled the UK legal requirements. Their design and structure varied, as did the level of reliability and validity data available. Some instruments can be tailored for a specific decisional scenario, whilst others are designed for use by particular patient groups. a wide range of mental capacity assessment instruments is available, but not all fulfil the UK legal requirements. Healthcare professionals and rese...Continue Reading

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Citations

Jan 29, 2020·Nursing Ethics·Stein Erik FæøBettina S Husebo
May 26, 2020·Disability and Rehabilitation·Mark JayesPamela Enderby
Sep 22, 2020·Journal of Palliative Medicine·Mathias SchlöglChristopher A Jones
Jun 5, 2021·International Journal of Nursing Studies·Jo-Anne ToddLaurie Grealish
Jun 30, 2021·International Psychogeriatrics·Mouna Romdhani
Jul 13, 2021·Health & Social Care in the Community·Mark JayesLaura J E Brown
Jul 28, 2021·Journal of the American Medical Directors Association·Mu-Hsing HoVictoria Traynor
Jul 12, 2020·Revista clínica española·A Blanco PortilloB Herreros Ruíz-Valdepeñas
Aug 2, 2021·Revista Clínica Espanõla·A Blanco PortilloB Herreros Ruíz-Valdepeñas
Jul 22, 2021·Health & Social Care in the Community·Ruth Usher, Tadhg Stapleton
Jan 22, 2022·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Ruth Usher, Tadhg Stapleton

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