Importance of mental capacity: time for greater attention and action

Ng, Peng Soon; Ang, Lye Poh Aaron; Kandiah, Nagaendran

doi:10.11622/smedj.2015182

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…Singapore's Mental Capacity Act states that a person lacks capacity in relation to a matter if at the material time he is unable to make a decision for himself in relation to the matter because of an impairment, or a disturbance in the functioning, of the mind or brain. 2,3 Fluctuating mental capacity 4 is where, although patients may suffer from impaired mental capacity, based on medical knowledge they have a high likelihood of improvement over time once the underlying problem is treated or resolved. This occurs in conditions such as delirium.…”

Section: How Do We Approach Decision-making In Adults With Fluctuating Mental Capacity?mentioning

confidence: 99%

I’d like to write another book" – Integrated Primary Care for an At-Risk Elder (IPCARE) Requiring Expedited Peritoneal Dialysis from Rapid Progression of End-Stage Renal Failure

2021

SFP

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An 84-year-old gentleman with stage 5 chronic kidney disease (CKD) from diabetic nephropathy required community hospital step-down after repeated hospitalisations for fluid overload. Renal function decline outpaced appointments for initiation of peritonealdialysis (PD).Biological and psychosocial barriers to dialysis initiation had to be tackled across settings in a collaborative, multi-disciplinary manner aligning various stakeholders. These included initial delirium that affected his mental capacity regarding placement and treatment, and concern regarding potential contraindications to PD.At the patient level, family physicians (FPs) are wellplaced to assess the mental capacity of patients, advocating and communicating their capacitated preferences to all stakeholders, collaborating with relevant subspecialists for dialysis initiation, and comanaging with community FP partners as medical experts in the anticipatory transitional care for patients with rapidly progressive end-stage renal failure (ESFR). The role of IPCARE as a systemic key enabler is also discussed.

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Section: How Do We Approach Decision-making In Adults With Fluctuating Mental Capacity?mentioning

confidence: 99%

I’d like to write another book" – Integrated Primary Care for an At-Risk Elder (IPCARE) Requiring Expedited Peritoneal Dialysis from Rapid Progression of End-Stage Renal Failure

2021

SFP

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“…(31) Leading nursing educationists wrote on the new Alice Lee Centre for Nursing Studies (32) and Dr Cheong Pak Yean expatiated on the future of family medicine training. (33) During the 2015 Jubilee year, two papers reflected important societal issues in Singapore -the Mental Capacity Act for the care of the cognitively impaired elderly (34) and polypharmacy in the treatment of elderly patients, especially in nursing homes. (35) The short-lived upheaval in Little India was reported by emergency doctors caring for victims of the riot.…”

Section: Smj Through the Past 55 Yearsmentioning

confidence: 99%

The social transformation of Singapore medicine through 55 years of the SMJ

Kua

2016

smedj

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The Singapore Medical Journal (SMJ) has in the past 55 years reflected the phenomenal socioeconomic progress of Singapore. Publications in the pre-independent years were mainly on diseases like cholera, diphtheria, leprosy, tetanus and worm infestation. In the new millennium, the research papers included molecular genetics, health economics, obesity, Internet medicine, cancer, cosmetic surgery and palliative medicine. The annual SMA Lecture published in the SMJ provides an ethical compass for doctors to remind them of primum non nocere.

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Assessing mental capacity

Neilson

2021

InnovAiT: Education and inspiration for general practice

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Mental capacity is the ability to retain, process, and weigh up information to provide a completely objective decision independent of any cognitive impairment present. Awareness of an individual’s mental capacity is important for all healthcare professionals. Mental capacity and capacity assessments are guided by the legal framework; the Mental Capacity Act 2005. Mental capacity assessments enable practitioners to determine if a patient is able to make reasoned decisions independently, or whether the patient requires assistance in their best interests and are decision and time dependent. Therefore, capacity can fluctuate over time and if someone is deemed to have no capacity on one occasion this does not mean that they should be assumed to consistently lack capacity. The act delivers five key principles to follow in order to determine whether an individual has or lacks mental capacity.

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Importance of mental capacity: time for greater attention and action

Cited by 3 publications

References 5 publications

I’d like to write another book" – Integrated Primary Care for an At-Risk Elder (IPCARE) Requiring Expedited Peritoneal Dialysis from Rapid Progression of End-Stage Renal Failure

I’d like to write another book" – Integrated Primary Care for an At-Risk Elder (IPCARE) Requiring Expedited Peritoneal Dialysis from Rapid Progression of End-Stage Renal Failure

The social transformation of Singapore medicine through 55 years of the SMJ

Assessing mental capacity

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