Top Ten Tips Palliative Care Clinicians Should Know about Medical Decision-Making Capacity Assessment

Sarah E. Ehrman; Kavitha P. Norton; David E. Karol; Meaghann S. Weaver; Bethany Lockwood; Abigail Latimer; Erin Scott; Christopher A. Jones; Robert Macauley

doi:10.1089/jpm.2021.0022

Top Ten Tips Palliative Care Clinicians Should Know about Medical Decision-Making Capacity Assessment

Sarah E. Ehrman, Kavitha P. Norton, David E. Karol, Meaghann S. Weaver, Bethany Lockwood, Abigail Latimer, Erin Scott, Christopher A. Jones, Robert Macauley

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Palliative care (PC) clinicians treat seriously ill patients who are at increased risk for compromised decision-making capacity (DMC). These patients face profound and complex questions about which treatments to accept and which to decline. PC clinicians, therefore, have the especially difficult task of performing thorough, fair, and accurate DMC assessments in the face of the complex effects of terminal illness, which may be complicated by fluctuating acute medical conditions, mental illness, or cognitive dysfunction. This study, written by a team of clinicians with expertise in PC, ethics, psychiatry, pediatrics, and geriatrics, aims to provide expert guidance to PC clinicians on best practice for complex DMC assessment.

Original language	English
Pages (from-to)	599-604
Number of pages	6
Journal	Journal of Palliative Medicine
Volume	24
Issue number	4
DOIs	https://doi.org/10.1089/jpm.2021.0022
State	Published - Apr 2021

Bibliographical note

Publisher Copyright:
© Copyright 2021, Mary Ann Liebert, Inc., publishers 2021.

Keywords

capacity assessment
decision-making capacity
life-sustaining treatment
medical decision making
serious illness
surrogate decision maker

ASJC Scopus subject areas

General Nursing
Anesthesiology and Pain Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1089/jpm.2021.0022

Cite this

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abstract = "Palliative care (PC) clinicians treat seriously ill patients who are at increased risk for compromised decision-making capacity (DMC). These patients face profound and complex questions about which treatments to accept and which to decline. PC clinicians, therefore, have the especially difficult task of performing thorough, fair, and accurate DMC assessments in the face of the complex effects of terminal illness, which may be complicated by fluctuating acute medical conditions, mental illness, or cognitive dysfunction. This study, written by a team of clinicians with expertise in PC, ethics, psychiatry, pediatrics, and geriatrics, aims to provide expert guidance to PC clinicians on best practice for complex DMC assessment.",

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AU - Karol, David E.

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AU - Lockwood, Bethany

AU - Latimer, Abigail

AU - Scott, Erin

AU - Jones, Christopher A.

AU - Macauley, Robert

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Top Ten Tips Palliative Care Clinicians Should Know about Medical Decision-Making Capacity Assessment

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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