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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Medical Decision-Making Capacity
David L. Simel
Make the Diagnosis: Medical Decision-Making Capacity

Topics Discussed: aid to capacity evaluation (ace), clinical decision making, criterion standard comparisons (diagnostic tests), decision making, decisional capacity, incompetence, make the diagnosis, medical decision-making capacity, mini-mental status examination (mmse), prior probability

Excerpt: "Decision-making capacity requires the presence of 4 abilities: (1) appreciation of one's situation and the consequence of one's choices, (2) understanding of the information required to make the choice, (3) reasoning about the risks and benefits of choices, and (4) communication of one's choice. While any physician can make this assessment, decision-making capacity must be evaluated in the context of the patient's situation.1..."
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