Mental Capacity Assessments for COVID-19 Patients: Emergency Admissions and the CARD Approach

The doctrine of consent (or informed consent, as it is called in North America) is built upon presumptions of mental capacity. Those presumptions must be tested according to legal rules that may be difficult to apply to COVID-19 patients during emergency presentations. We examine the principles of m...

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Published in:Journal of bioethical inquiry 2020-12, Vol.17 (4), p.803-808
Main Authors: Stewart, Cameron, Biegler, Paul, Brunero, Scott, Lamont, Scott, Tomossy, George F.
Format: Article
Language:English
Subjects:
Capacity and disability
COVID-19
COVID-19 (Disease)
Critical Care
Emergency medicine
Ethics
Humans
Informed Consent
Informed consent (Medical law)
Medical Law
Medicine
Medicine & Public Health
Mental Competency
Moral and ethical aspects
Pandemics
Patient Admission
SARS-CoV-2
Symposium COVID-19 Pandemic: 6. Clinical Implications
Symposium: COVID-19
Theory of Medicine/Bioethics
Treatment
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cited_by cdi_FETCH-LOGICAL-c474t-532e124f26937383cf18b7495e2b4b0678fc26c0c3f769b36a5f60ec295687ee3
cites cdi_FETCH-LOGICAL-c474t-532e124f26937383cf18b7495e2b4b0678fc26c0c3f769b36a5f60ec295687ee3
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container_issue 4
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container_title Journal of bioethical inquiry
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creator Stewart, Cameron
Biegler, Paul
Brunero, Scott
Lamont, Scott
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description The doctrine of consent (or informed consent, as it is called in North America) is built upon presumptions of mental capacity. Those presumptions must be tested according to legal rules that may be difficult to apply to COVID-19 patients during emergency presentations. We examine the principles of mental capacity and make recommendations on how to assess the capacity of COVID-19 patients to consent to emergency medical treatment. We term this the CARD approach (Comprehend, Appreciate, Reason, and Decide).
doi_str_mv 10.1007/s11673-020-10055-2
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subjects Capacity and disability
COVID-19
COVID-19 (Disease)
Critical Care
Emergency medicine
Ethics
Humans
Informed Consent
Informed consent (Medical law)
Medical Law
Medicine
Medicine & Public Health
Mental Competency
Moral and ethical aspects
Pandemics
Patient Admission
SARS-CoV-2
Symposium COVID-19 Pandemic: 6. Clinical Implications
Symposium: COVID-19
Theory of Medicine/Bioethics
Treatment
title Mental Capacity Assessments for COVID-19 Patients: Emergency Admissions and the CARD Approach
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