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Clinical Update

Capacity Evaluation

October 31, 2023

Rehan Aziz, MD. Associate program director, geriatric psychiatry fellowship program, Jersey Shore University Medical Center, Neptune, NJ; associate professor of psychiatry and neurology, Hackensack Meridian School of Medicine, Nutley, NJ.

Dr. Aziz has no financial relationships with companies related to this material.

A patient’s decision-making capacity is not an all-or-nothing phenomenon. Here we review its four components and how to individualize your assessment based on a patient’s unique situation.

Decisional Capacity

May 21, 2021

Erick Cheung, MD

Erick Cheung, MD

Associate Medical Director, UCLA Resnick Neuropsychiatric Hospital. Chief Quality Officer, Department of Psychiatry, UCLA, Los Angeles, CA. Dr. Cheung has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Patients sometimes refuse necessary, even lifesaving, treatments. How do we know they are making informed and reasonable decisions? Dr. Cheung summarizes key points in evaluating patients’ decisional capacity.

Capacity Assessment in Pregnant Patients

May 21, 2021

Saba Syed, MD

Saba Syed, MD Director of Consultation and Liaison Psychiatry, Olive View-UCLA Medical Center. Clinical Professor, UCLA. Bioethics Committee Chair, Olive View-UCLA Medical Center. Consultation-Liaison, Olive View Medical Center, Los Angeles, CA. Dr. Syed has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Imagine working with a pregnant, mentally ill woman who refuses critical obstetric interventions. Dr. Syed walks us through the steps to determine if these patients lack decisional capacity and explains how we can arrange for surrogate decision-makers.