Module 2: Direct Comprehensive Primary Care in the LTC Setting

8 2.1.1 Consent, Capacity & Decision Making

A person is capable with respect to treatment if the person is both:
1. Able to understand the information that is relevant to making a decision about the treatment

And

2. Able to appreciate the reasonably foreseeable consequences of a decision or lack of decision (if the exam establishes that the person lacks the ability to do either one s/he is incapable).

Capacity:

  • Capacity must be reassessed with every interaction, treatment and decision
  • Capacity is fluctuating and can vary day to day, treatment to treatment
  • Incapacity is not a global concept
  • One can be capable of some decisions (e.g. financial capacity) and incapable of other decisions (e.g. treatment)
  • Dementia diagnosis does NOT mean incapacity

Please note that specific legislation will vary province to province, but the legal test will not change.[1][2][3][4]


  1. College of Nurses of Ontario, 2017
  2. Health Care Consent Act, 1996
  3. Mental Health Act, 1990
  4. Substitute Decisions Act, 1992

License

Icon for the Creative Commons Attribution-ShareAlike 4.0 International License

Nurse Practitioners Delivering Primary Care in the Long Term Care Setting Copyright © 2024 by Erin Ziegler, Carrie Heer and Adhiba Nilormi is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License, except where otherwise noted.

Share This Book