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Titolo:
Emergency determination of decision-making capacity: Balancing autonomy and beneficence in the emergency department
Autore:
Larkin, GL; Marco, CA; Abbott, JT;
Indirizzi:
Univ Pittsburgh, Mercy Hosp, Sch Med, Pittsburgh, PA USA Univ Pittsburgh Pittsburgh PA USA ercy Hosp, Sch Med, Pittsburgh, PA USA St Vincent Mercy Med Ctr, Toledo, OH USA St Vincent Mercy Med Ctr Toledo OH USA ent Mercy Med Ctr, Toledo, OH USA Univ Colorado, Boulder, CO 80309 USA Univ Colorado Boulder CO USA 80309Univ Colorado, Boulder, CO 80309 USA
Titolo Testata:
ACADEMIC EMERGENCY MEDICINE
fascicolo: 3, volume: 8, anno: 2001,
pagine: 282 - 284
SICI:
1069-6563(200103)8:3<282:EDODCB>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFORMED CONSENT; COMPETENCE; PREVALENCE; INTERVIEW; STANDARDS; DEMENTIA; PATIENT; MINORS;
Keywords:
decision-making capacity; informed consent; refusal of care; clinical judgment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Larkin, GL Emergency Med Assoc Pittsburgh, 13 Pride St, Pittsburgh, PA 15219 USA Emergency Med Assoc Pittsburgh 13 Pride St Pittsburgh PA USA 15219
Citazione:
G.L. Larkin et al., "Emergency determination of decision-making capacity: Balancing autonomy and beneficence in the emergency department", ACAD EM MED, 8(3), 2001, pp. 282-284

Abstract

The determination of decision-making capacity (DMC) is an essential component of securing voluntary informed consent, for either treatment or refusalof care. Decision-making capacity should be determined on some level during each patient encounter. Decison-making capacity includes the ability to receive, process, and understand information, the ability to deliberate, theability to make choices, and the ability to communicate those preferences. For patients in whom DMC may be uncertain, a more explicit approach to determination of DMC is recommended. However, DMC determination must neither compromise patient safety nor delay needed care. When DMC determination is challenging, or when the ramifications of a decision are serious, the assistance of a third party (such as a surrogate, a consultant, or another clinician) may be valuable in discerning the most appropriate action. In additionto the obvious clinical utility of DMC assessment, the steps taken in the very establishment of DMC may promote patient trust, professionalism, and humanistic clinical practice. While DMC may be conditional, the compassion and respect we have for our patients must be unconditional.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 00:14:40