Capacities of hospitalized, medically ill patients to consent to treatment
Department of Psychiatry
Adult; Aged; Comprehension; Control Groups; Disclosure; Female; Hospitalization; Humans; Informed Consent; Male; Mental Competency; Mental Status Schedule; Middle Aged; Myocardial Ischemia; Neuropsychological Tests; Risk Assessment; Risk Factors
This study was designed to compare the abilities of hospitalized, medically ill patients with non-ill comparison subjects to engage in an informed consent process. Eighty-two inpatients under the age of 70 were recruited from patients admitted for evaluation or treatment of ischemic heart disease (N = 675). The comparison subjects (n = 82) were matched person-to-person on age, gender, race, educational level, and occupation and did not have histories of ischemic heart disease. The hospitalized subjects did not differ from the non-ill comparison subjects on three instruments developed to assess abilities related to decision-making competence. Demographic and mental state variables did not correlate with performance, except for verbal cognitive functioning. There is no reason to believe that hospitalized patients similar to this sample--even if being treated for potentially life-threatening conditions--are at increased risk of inability to engage in a meaningful informed consent process.
Psychosomatics. 1997 Mar-Apr;38(2):119-25.
Appelbaum, Paul S. and Grisso, Thomas, "Capacities of hospitalized, medically ill patients to consent to treatment" (1997). Psychiatry Publications and Presentations. 251.