Abstract
Capacity to make one’s own medical decisions is an issue commonly encountered in the inpatient setting when working with the traumatically injured. In this chapter, the authors present a case of a man with a traumatic brain injury (TBI) to highlight a neuropsychological formulation approach for determining capacity, provide a framework to think through clinical capacity questions, and to raise practical suggestions to implement recommendations. Ethical implications regarding decisional capacity, outcome of the case after he left the hospital, and reflections about lessons learned and limitations are also discussed.
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References
Applebaum, P. S., & Grisso, T. (1988). Assessing patients’ capacities to consent to treatment. The New England Journal of Medicine, 319(25), 1635–1638.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the beck depression inventory-II. San Antonio: Psychological Corporation.
Berg, J. W., Appelbaum, P. S., Lidz, C. W., & Parker, L. S. (2001). Informed consent: Legal theory and clinical practice. New York: Oxford University Press
Brown, K. (1985). Can medical paternalism be justified? Canadian Medical Association Journal, 133(7), 678–680.
Buchanan, D. R. (2008). Autonomy, paternalism, and justice: Ethical priorities in public health. American Journal of Public Health, 98(1), 15–21.
Larkin, G., Marco, C. A., & Abbott, J. T. (2001). Emergency determination of decision-making capacity: Balancing autonomy and beneficence in the emergency department. Academic Emergency Medicine, 8(3), 282–284
Levin, H., O’Donnell, V., & Grossman, R. (1979). The Galveston Orientation and Amnesia Test: A practical scale to assess cognition after head injury. Journal of Nervous and Mental Disorders, 20, 694–705
Marson, D. C., Dreer, L. E., Krzywanski, S., Huthwaite, J. S., DeVivo, M. J., & Novack, T. A. (2005). Impairment and partial recovery of medical decision-making capacity in traumatic brain injury: A 6-month longitudinal study. Archives of Physical Medicine and Rehabilitation, 86(5), 889–895.
Moberg, P. J., & Kniele, K. (2006). Evaluation of competency: Ethical considerations for neuropsychologists. Applied Neuropsychology, 13(2), 101–114
Pantilat, S. (2008). Decision making capacity. San Francisco: UCSF School of Medicine.
Randolph C. (1998). Repeatable battery for the assessment of neuropsychological status. San Antonio: The Psychological Corporation.
Reitan, R. M., & Wolfson, D. (1993). The Halstead Reitan neuropsychological test battery: Theory and clinical interpretation (2nd ed.). Tucson: Neuropsychology Press.
Wechsler, D. (1997). Wechsler adult intelligence scale III. San Antonio: The Psychological Corporation.
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Jamora, C., Ruff, R. (2016). Decisional Capacity in the Traumatically Injured. In: Macniven, J. (eds) Neuropsychological Formulation. Springer, Cham. https://doi.org/10.1007/978-3-319-18338-1_11
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DOI: https://doi.org/10.1007/978-3-319-18338-1_11
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