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  2. 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.

  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. Jul 1, 2018 · Patients have medical decision-making capacity if they can demonstrate understanding of the situation, appreciation of the consequences of their decision, and reasoning in their thought...

  5. Jun 6, 2019 · The starting point must be to recognize when someone lacks the capacity to make complex healthcare decisions. This is covered in the companion article. 10 If someone lacks capacity, it is usually possible to triage a person into one of four groups:

    • Derick T Wade, Celia Kitzinger
    • 2019
  6. Feb 29, 2024 · This topic reviews the definition of capacity, predictors of impaired capacity, when and how to assess capacity, and how to incorporate an assessment of capacity into clinical judgments about the ability of patients to choose their treatment.

  7. People who have clinical and legal capacity with respect to health care have the right to make health care decisions, including refusal of medically necessary care, even if death may result from refusal. People who lack both capacities cannot make health care decisions.

  8. Dec 16, 2023 · How can clinicians help surrogates make difficult decisions for incapacitated loved ones? And what criteria should surrogates use in making those decisions?

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