Assessment of Healthcare Decision-making Capacity

被引:68
|
作者
Palmer, Barton W. [1 ,2 ,3 ,4 ]
Harmell, Alexandrea L. [1 ,4 ,5 ]
机构
[1] Univ Calif San Diego, Dept Psychiat, San Diego, CA 92103 USA
[2] Vet Med Res Fdn, San Diego, CA USA
[3] Vet Affairs San Diego Healthcare Syst, San Diego, CA USA
[4] Univ Calif San Diego, Stein Inst Res Aging, Ctr Hlth Aging, San Diego, CA 92093 USA
[5] San Diego State Univ, Univ Calif San Diego Joint Doctoral Program Clin, San Diego, CA 92182 USA
基金
美国国家卫生研究院;
关键词
Assessment; Schizophrenia; Alzheimer's disease; MILD COGNITIVE IMPAIRMENT; DIFFERENT LEGAL STANDARDS; TRAUMATIC BRAIN-INJURY; ALZHEIMERS-DISEASE; PARKINSONS-DISEASE; MEDICAL DECISIONS; CLINICAL-RESEARCH; BIPOLAR DISORDER; INFORMED-CONSENT; OLDER PATIENTS;
D O I
10.1093/arclin/acw051
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
It is often necessary for neuropsychologists, clinical psychologists, and other healthcare professionals to assess an individual's capacity to consent to treatment related to healthcare. This task can be challenging and requires a delicate balance of both respect for individuals' autonomy, as well as the protection of individuals with diminished capacity to make an autonomous decision. The purpose of the present review is to provide an overview of the conceptual model of decisional capacity as well as a brief summary of some of the currently available instruments designed to help evaluate medical decision making. In addition, current empirical literature on the relationship between neuropsychological abilities and decision-making capacity is discussed and a brief set of recommendations is provided to further aid clinicians or consultants when they are required to complete the ethically important but difficult task of making determinations about healthcare decision-making capacity.
引用
收藏
页码:530 / 540
页数:11
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