Decision-making Capacity in Healthcare: Instruments Review and Reflections about its Assessment in the Elderly with Cognitive Impairment and Dementia

Detalhes bibliográficos
Autor(a) principal: Amaral, Ana Saraiva
Data de Publicação: 2021
Outros Autores: Afonso, Rosa Marina, Simões, Mário R., Freitas, Sandra
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10316/96879
https://doi.org/10.1007/s11126-020-09867-7
Resumo: This is a post-peer-review, pre-copyedit version of an article published in Psychiatric Quarterly. The final authenticated version is available online at: https://doi.org/10.1007/s11126-020-09867-7
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spelling Decision-making Capacity in Healthcare: Instruments Review and Reflections about its Assessment in the Elderly with Cognitive Impairment and DementiaCapacity assessmentHealthcare decision-makingDementiaMild cognitive impairmentThis is a post-peer-review, pre-copyedit version of an article published in Psychiatric Quarterly. The final authenticated version is available online at: https://doi.org/10.1007/s11126-020-09867-7The prevalence of neurodegenerative diseases has been significantly increasing in the last decades, and it is expected to continue to grow. These health disorders can impair patients’ decision-making capacity in healthcare. The capacity to make healthcare deci- sions is a fundamental pillar of informed consent, therefore, it should be carefully assessed. Clinicians’ assessment, when not supported by a standardized tool, has revealed to be unreliable, so the recourse to an instrument of capacity assessment is crucial. The present paper aims to identify and summarize published instruments of healthcare decision-making capacity. To do so, a search of peer-reviewed articles in English, Portuguese and Spanish was conducted. A total of eighteen articles, detailing seventeen assessment instruments were selected. Instruments differ on format, structure, assessed abilities and psychometric properties. Likewise, instruments’ targeted population also varies, with a few being specifically developed for patients with dementia. Although a high number of instruments were found, there is still no gold standard for healthcare decision-making capacity assessment. The lack of a gold standard highlights the need for more research in this field, as well as an effort to develop guidelines and normative data, in order to improve clinical practices.Este trabalho foi apoiado financeiramente pela Fundação para a Ciência e Tecnologia (FCT), através de Bolsa Individual de Doutoramento (FCT, SFRH/BD/139344/2018), financiada por fundos nacionais do Ministério da Ciência, Tecnologia e Ensino Superior (MCTES) e pelo Fundo Social Europeu (FSE-UE) através do Programa Operacional Regional Centro (PORC-UE).Springer2021-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/96879http://hdl.handle.net/10316/96879https://doi.org/10.1007/s11126-020-09867-7eng0033-2720https://link.springer.com/article/10.1007/s11126-020-09867-7Amaral, Ana SaraivaAfonso, Rosa MarinaSimões, Mário R.Freitas, Sandrainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-04-06T10:19:47Zoai:estudogeral.uc.pt:10316/96879Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:15:03.465996Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Decision-making Capacity in Healthcare: Instruments Review and Reflections about its Assessment in the Elderly with Cognitive Impairment and Dementia
title Decision-making Capacity in Healthcare: Instruments Review and Reflections about its Assessment in the Elderly with Cognitive Impairment and Dementia
spellingShingle Decision-making Capacity in Healthcare: Instruments Review and Reflections about its Assessment in the Elderly with Cognitive Impairment and Dementia
Amaral, Ana Saraiva
Capacity assessment
Healthcare decision-making
Dementia
Mild cognitive impairment
title_short Decision-making Capacity in Healthcare: Instruments Review and Reflections about its Assessment in the Elderly with Cognitive Impairment and Dementia
title_full Decision-making Capacity in Healthcare: Instruments Review and Reflections about its Assessment in the Elderly with Cognitive Impairment and Dementia
title_fullStr Decision-making Capacity in Healthcare: Instruments Review and Reflections about its Assessment in the Elderly with Cognitive Impairment and Dementia
title_full_unstemmed Decision-making Capacity in Healthcare: Instruments Review and Reflections about its Assessment in the Elderly with Cognitive Impairment and Dementia
title_sort Decision-making Capacity in Healthcare: Instruments Review and Reflections about its Assessment in the Elderly with Cognitive Impairment and Dementia
author Amaral, Ana Saraiva
author_facet Amaral, Ana Saraiva
Afonso, Rosa Marina
Simões, Mário R.
Freitas, Sandra
author_role author
author2 Afonso, Rosa Marina
Simões, Mário R.
Freitas, Sandra
author2_role author
author
author
dc.contributor.author.fl_str_mv Amaral, Ana Saraiva
Afonso, Rosa Marina
Simões, Mário R.
Freitas, Sandra
dc.subject.por.fl_str_mv Capacity assessment
Healthcare decision-making
Dementia
Mild cognitive impairment
topic Capacity assessment
Healthcare decision-making
Dementia
Mild cognitive impairment
description This is a post-peer-review, pre-copyedit version of an article published in Psychiatric Quarterly. The final authenticated version is available online at: https://doi.org/10.1007/s11126-020-09867-7
publishDate 2021
dc.date.none.fl_str_mv 2021-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10316/96879
http://hdl.handle.net/10316/96879
https://doi.org/10.1007/s11126-020-09867-7
url http://hdl.handle.net/10316/96879
https://doi.org/10.1007/s11126-020-09867-7
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0033-2720
https://link.springer.com/article/10.1007/s11126-020-09867-7
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
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