Assessing Competence to Consent to Treatment: A Guide for Physicians and Other Health Professionals / Edition 1by Thomas Grisso, Applebaum Grisso, Paul S. Appelbaum
One of the most challenging tasks facing clinicians today is the assessment of patients' capacities to consent to treatment. The protection of a patient's right to decide, as well as the protection of incompetent patients from the potential harm of their decisions, rests largely on clinicians' abilities to judge patients' capacities to decide what treatment they… See more details below
One of the most challenging tasks facing clinicians today is the assessment of patients' capacities to consent to treatment. The protection of a patient's right to decide, as well as the protection of incompetent patients from the potential harm of their decisions, rests largely on clinicians' abilities to judge patients' capacities to decide what treatment they will receive. However, confusing laws and the complicated ethical issues surrounding the concept of competence to consent have made the process of competence assessment intimidating for many clinicians. Health professionalsphysicians, medical students, residents, nurses, and mental health practitionershave long needed a concise guidebook that translates the issues for practice. That is what this book accomplishes.
This volume is the product of an eight-year study of patients' capacities to make treatment decisionsthe most comprehensive research of its kind. The authors describe the place of competence in the doctrine of informed consent, analyze the elements of decision-making, and show how assessments of competence to consent to treatment can be conducted within varied general medical and psychiatric treatment settings. The book explains how assessments should be conducted and offers detailed, practice-tested interview guidelines to assist medical practitioners in this task. Numerous case studies illustrate real-life applications of the concepts and methods discussed. Grisso and Appelbaum also explore the often difficult process of making judgments about competence and describe what to do when patients' capacities are limited.
A timely, practical handbook relevant to every medical specialty, Assessing Competence to Consent to Treatment will benefit a wide array of medical practitionersincluding physicians, medical students, residents, nurses, and other allied health professionalswho need to assess the mental competence of patients in their everyday practice. It will also interest ethicists and moral philosophers, as well as geriatricians and clinical psychologists working with cognitively impaired patients.
- Oxford University Press, USA
- Publication date:
- Edition description:
- New Edition
- Product dimensions:
- 8.30(w) x 5.40(h) x 1.00(d)
Table of Contents
1. Why Competence is Important: The Doctrine of Informed Consent
2. Thinking About Competence
3. Abilities Related to Competence
4. When Patients' Decision Making Should be Assessed
5. Assessing Patients' Capacities to Consent to Treatment
6. Using the MacArthur Competence Assessment Tool - Treatment
7. Making Judgements About Patients' Competence
8. Substitute Decision Making for Incompetent Patients
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