Patients’ Mental Capacity to Make Decisions
I need to identify an ethical issue from a volunteering experience in a hospital and:
1) Identify 10 relevant significant peer reviewed papers
2) Do a critical analysis of each paper
3) Synthesizing their various ideas into a coherent discussion/argument.
(In addition to the 10 papers, other sources may be used if necessary)
I will then use these ideas and relate them to the specific case I have chosen: a man with brain cancer. He has about a month to live, he is alert and able to communicate but as the cancer has spread his personality has changed from a previous visit a few weeks ago. He appears confused and incoherent at times. He has no family and lives alone at home. He’s refusing to be admitted to a hospital to receive the end of life care he requires.
The broader topic I would like to write about is his mental capacity to make decisions about his treatment, give consent, etc. Under what circumstances would he be deemed to be able to act in his best interests, who makes the calls if he has no immediate family, what are the responsibilities and limitations of his doctors?