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  1. Overview. Ontario law assumes that adults are capable of making decisions until it is proven they are not capable. A person is incapable of making a decision if they do not understand the information relevant to the decision or don’t understand the consequences of making or not making it, or both.

    • What Does The Term “Capacity” Mean When It Comes to Decision-Making?
    • What Is The Difference Between Incapacity and Incompetence?
    • How Is Capacity determined?
    • How Do Alzheimer’s Disease and Other Forms of Dementia Affect Capacity?
    • Is Neuropsychological Testing Required to Assess Capacity?
    • Resources & References to Help You Understand Capacity

    Let’s say you tell me that your 87-year old aunt Mary has been falling repeatedly, but she refuses to go see a doctor. In this case, we might consider whether she has the capacity to decide whether or not she needs to see the doctor. It’s especially vital to do this if Mary has been showing signs of memory or thinking problems, or if she’s been dia...

    Capacity is often considered from a clinical perspective (i.e. by doctors, psychologists, and others) versus a legal perspective (i.e. by lawyers, judges, and courts). Historically, the term “competence” was used in legal settings and the term “capacity” was used in clinical settings. The legal determination of competence related to whether a perso...

    In most situations, we presume that adults have capacity. If concerns about capacity are raised by others, or if a professional notices anything to cause concern about capacity, then a process of further assessing capacity may be started. Legal professionals are generally required (by state laws and by their professional code of conduct) to conduct...

    Any disease or disorder that disrupts cognition — the brain’s memory and thinking processes — can impair a person’s decision-making capacity. In early Alzheimer’s and dementia, people usually retain the capacity to make many types of decisions, but not necessarily all of them. It all depends on the decision in question, and also on which thinking p...

    Not necessarily. Clinicians are usually allowed to use “clinical judgment” in conducting their evaluations and reaching their conclusions. Especially if a person has a dementia that is at a moderate or severe stage, it is often possible for a generalist physician to provide evidence of a lack of capacity, simply by interviewing the person, document...

    Written for the lay public: 1. Legal Planning(Alzheimer’s Association) 2. Assisting a Person with Dementia in Planning for the Future(Alzheimer’s Association) 3. Driving and Dementia (Alzheimer’s Association) Written for professionals: 1. Assessment of Capacity in Older Adults (American Bar Association/American Psychological Association) 1.1. Inclu...

  2. When situations causing serious illness or diminished mental abilities arise for any individual (whether a senior or not), that person’s capacity to make decisions may be reduced. The law recognizes that someone else may need to step in and make decisions.

  3. When a patient lacks decision-making capacity, the physician has an ethical responsibility to: Identify an appropriate surrogate to make decisions on the patient’s behalf: the person the patient designated as surrogate through a durable power of attorney for health care or other mechanism;

  4. Jan 23, 2021 · Here are the 9 reasons that incompetent people can get ahead and how you can learn and follow their lead.

  5. Aug 4, 2022 · When criminal suspects are deemed too mentally ill to go through the court process and their charges are dropped, they can be left without stabilizing treatment — and sometimes end up being charged with additional crimes.

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  7. People who are intoxicated, delirious, comatose, severely depressed, agitated, or otherwise impaired are likely to lack the capacity to make health care decisions but may later regain that capacity. A person’s ability to carry out a decision is also important for doctors to assess.

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