assessing the capacity to make everyday decisions: a guide

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University of Pennsylvania ScholarlyCommons Neuroethics Publications Center for Neuroscience & Society 1-23-2008 Assessing the Capacity to Make Everyday Decisions: A Guide for Clinicians and an Agenda for Future Research James M. Lai University of Pennsylvania Jason Karlawish University of Pennsylvania, [email protected] Postprint version. Published in American Journal of Geriatric Psychiatry, Volume 15, February 2008, pages 101-111. Publisher URL: hp://ajgponline.com/cgi/content/abstract/15/2/101 e author asserts his right to include this material in ScholarlyCommons@Penn. is paper is posted at ScholarlyCommons. hp://repository.upenn.edu/neuroethics_pubs/34 For more information, please contact [email protected].

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University of PennsylvaniaScholarlyCommons

Neuroethics Publications Center for Neuroscience & Society

1-23-2008

Assessing the Capacity to Make EverydayDecisions: A Guide for Clinicians and an Agendafor Future ResearchJames M. LaiUniversity of Pennsylvania

Jason KarlawishUniversity of Pennsylvania, [email protected]

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.

This paper is posted at ScholarlyCommons. http://repository.upenn.edu/neuroethics_pubs/34For more information, please contact [email protected].

Assessing the Capacity to Make Everyday Decisions: A Guide forClinicians and an Agenda for Future Research

AbstractAssessing 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 eitherin the community or in long-term care and medical facilities increase the importance of adequately assessingthis capacity. This review examines the current approaches to making this assessment, demonstrates how theyare incomplete, and considers potential approaches for improving these evaluations. Future research shoulddevelop and validate methods to identify patients with impaired capacity to make everyday decisions. Thesedata will supplement functional, cognitive, and medical assessments.

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

CommentsPostprint version. Published in American Journal of Geriatric Psychiatry, Volume 15, February 2008, pages101-111.Publisher URL: http://ajgponline.com/cgi/content/abstract/15/2/101

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

This journal article is available at ScholarlyCommons: http://repository.upenn.edu/neuroethics_pubs/34