consent - sarat

[ArchivalUser]

but still a doc has to judge the competence,i think?
as i remember,cns tests...orientation to time,place and person ..that decides the competence..may be will ask Q related to them and decide...still ans is haaaaaaaanging.

[ArchivalUser]

1) This patient understands what is at stake with his treatment refusal. As he is competent to make this decision, you have a duty to respect his choice. However, you should also be sure to explore his reasons for refusing treatment and continue to discuss your recommendations. A treatment refusal should be honored, but it should also not be treated as the end of a discussion

2) This patient's underlying disease is impairing her decision making capacity. If her wishes are consistent during her lucid periods, this choice may be considered her real preference and followed accordingly. However, as her decision making capacity is questionable, getting a surrogate decision maker involved can help determine what her real wishes are.