{"id":881,"date":"2024-04-10T08:02:00","date_gmt":"2024-04-10T12:02:00","guid":{"rendered":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/?post_type=chapter&#038;p=881"},"modified":"2024-04-10T08:06:45","modified_gmt":"2024-04-10T12:06:45","slug":"2-1-1-consent-capacity-decision-making","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/chapter\/2-1-1-consent-capacity-decision-making\/","title":{"raw":"2.1.1 Consent, Capacity &amp; Decision Making","rendered":"2.1.1 Consent, Capacity &amp; Decision Making"},"content":{"raw":"A person is capable with respect to treatment if the person is both:\r\n1. Able to understand the information that is relevant to making a decision about the treatment\r\n\r\nAnd\r\n\r\n2. 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).\r\n\r\nCapacity:\r\n<ul>\r\n \t<li>Capacity must be reassessed with every interaction, treatment and decision<\/li>\r\n \t<li>Capacity is fluctuating and can vary day to day, treatment to treatment<\/li>\r\n \t<li>Incapacity is not a global concept<\/li>\r\n \t<li>One can be capable of some decisions (e.g. financial capacity) and incapable of other decisions (e.g. treatment)<\/li>\r\n \t<li>Dementia diagnosis does NOT mean incapacity<\/li>\r\n<\/ul>\r\nPlease note that specific legislation will vary province to province, but the legal test will not change.[footnote]College of Nurses of Ontario, 2017[\/footnote][footnote]Health Care Consent Act, 1996[\/footnote][footnote]Mental Health Act, 1990[\/footnote][footnote]Substitute Decisions Act, 1992[\/footnote]","rendered":"<p>A person is capable with respect to treatment if the person is both:<br \/>\n1. Able to understand the information that is relevant to making a decision about the treatment<\/p>\n<p>And<\/p>\n<p>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).<\/p>\n<p>Capacity:<\/p>\n<ul>\n<li>Capacity must be reassessed with every interaction, treatment and decision<\/li>\n<li>Capacity is fluctuating and can vary day to day, treatment to treatment<\/li>\n<li>Incapacity is not a global concept<\/li>\n<li>One can be capable of some decisions (e.g. financial capacity) and incapable of other decisions (e.g. treatment)<\/li>\n<li>Dementia diagnosis does NOT mean incapacity<\/li>\n<\/ul>\n<p>Please note that specific legislation will vary province to province, but the legal test will not change.<a class=\"footnote\" title=\"College of Nurses of Ontario, 2017\" id=\"return-footnote-881-1\" href=\"#footnote-881-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a><a class=\"footnote\" title=\"Health Care Consent Act, 1996\" id=\"return-footnote-881-2\" href=\"#footnote-881-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><a class=\"footnote\" title=\"Mental Health Act, 1990\" id=\"return-footnote-881-3\" href=\"#footnote-881-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a><a class=\"footnote\" title=\"Substitute Decisions Act, 1992\" id=\"return-footnote-881-4\" href=\"#footnote-881-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a><\/p>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-881-1\">College of Nurses of Ontario, 2017 <a href=\"#return-footnote-881-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-881-2\">Health Care Consent Act, 1996 <a href=\"#return-footnote-881-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-881-3\">Mental Health Act, 1990 <a href=\"#return-footnote-881-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-881-4\">Substitute Decisions Act, 1992 <a href=\"#return-footnote-881-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><\/ol><\/div>","protected":false},"author":517,"menu_order":5,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-881","chapter","type-chapter","status-publish","hentry"],"part":3,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/881","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/users\/517"}],"version-history":[{"count":2,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/881\/revisions"}],"predecessor-version":[{"id":887,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/881\/revisions\/887"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/parts\/3"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/881\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/media?parent=881"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapter-type?post=881"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/contributor?post=881"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/license?post=881"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}