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2 results

  • 3.15.1 - Capacity and Consent Issues in Intensive Care

  • from Section 3.15 - Psychiatric Disorders Encountered in Intensive Care
  • Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
  • Book:
    Intensive Care Medicine
    Published online:
    27 July 2023
    Print publication:
    01 December 2021, pp 433-436

  • Summary

    Key Learning Points

    1. 1. The four components of capacity concern a patient’s ability to understand, retain, weigh and communicate a decision.

    2. 2. It is the responsibility of the lead clinician to ensure that capacity has been assessed and to make the final decision regarding capacity, even where a professional opinion has been sought.

    3. 3. The Mental Capacity Act (MCA) 2005 allows treatment of patients for MEDICAL conditions only, under the ‘best interests’ principle.

    4. 4. All patients admitted to the intensive care unit should be considered at risk of deprivation of liberty, and a Deprivation of Liberty Safeguards (DoLS) assessment should be considered.

    5. 5. The Mental Health Act (MHA; 1983) allows treatment of patients for PSYCHIATRIC conditions only.