#ChiefResident blog #NoonConference #meded Thanks to Dr. Nelson for a non-conventional case exploring capacity and ethics! "Tips to not feeling incapacitated by capacity assessments" imrespdx.com/imrespdx-blog/…
The questions were raised:
--Does this patient have capacity to make this decision?
--How does her underlying schizophrenia affect her capacity?
--What do you do when the patient’s wishes don’t align with your own or those of the patient’s family members?
--Does this patient have capacity to make this decision?
--How does her underlying schizophrenia affect her capacity?
--What do you do when the patient’s wishes don’t align with your own or those of the patient’s family members?
this is a great @NEJM article on assessing capacity
and remember, have confidence with capacity: This is not only something we can and should assess, it is something that the primary team is BEST suited to do.
nejm.org/doi/full/10.10…
and remember, have confidence with capacity: This is not only something we can and should assess, it is something that the primary team is BEST suited to do.
nejm.org/doi/full/10.10…
Be conscious of unconscious bias:
o Physicians are more likely to identify a patient as lacking capacity if the patient is making a choice other than what the physician sees as appropriate, regardless of the demonstration of the 4 domains of capacity
o Physicians are more likely to identify a patient as lacking capacity if the patient is making a choice other than what the physician sees as appropriate, regardless of the demonstration of the 4 domains of capacity
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