Neuroethics Publications

Document Type

Journal Article

Date of this Version

January 2008

Comments

Postprint version. Published in American Journal of Geriatric Psychiatry, Volume 15, February 2008, pages 101-111.
Publisher URL: http://ajgponline.com/cgi/content/abstract/15/2/101

The author asserts his right to include this material in ScholarlyCommons@Penn.

Abstract

Assessing the capacity of patients to make decisions about their functional problems has substantial ethical, clinical, and financial implications. The growing population of older adults with cognitive impairment either in the community or in long-term care and medical facilities increase the importance of adequately assessing this capacity. This review examines the current approaches to making this assessment, demonstrates how they are incomplete, and considers potential approaches for improving these evaluations. Future research should develop and validate methods to identify patients with impaired capacity to make everyday decisions. These data will supplement functional, cognitive, and medical assessments.

Keywords

capacity, cognitive impairment, decision-making, dementia, activities of daily living

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Date Posted: 23 January 2008

This document has been peer reviewed.