Learning the Patient's Narrative to Determine Decision- Making Capacity: The Role of Ethics Consultation
Maciunas, Kristina A.
Moss, Alvin H.
Journal of Clinical Ethics. 1992 Winter; 3(4): 287-289.
Conclusion: This case highlights one function of ethics consultation, to assist in determining decision-making capacity. It demonstrates the importance of knowing the patient's narrative when assessing the patient's decision-making capacity. While ethics consultants are not uniquely skilled at obtaining a patient's narrative, other members of the health-care team sometimes fail to realize the importance of the patient's story. What initially appeared to be an irrational decision by a "mildly mentally retarded" patient became quite reasonable after the patient's full story was known.
Cancer; Case Studies; Clinical Ethics; Clinical Ethics Committees; Communication; Competence; Comprehension; Consent; Consultation; Decision Making; Diagnosis; Ethicists; Ethics; Ethics Committees; Ethics Consultation; Evaluation; Health; Informed Consent; Narrative Ethics; Psychiatry; Treatment Refusal;
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