Literature DB >> 26979251

WHAT ARE 'BEST INTERESTS'? A CRITICAL EVALUATION OF 'BEST INTERESTS' DECISION-MAKING IN CLINICAL PRACTICE.

Helen J Taylor1.   

Abstract

Obtaining the patient's consent is usually a prerequisite of any clinical intervention. However, some cognitively impaired patients may not be able to give valid consent. Following years of consultation and legislative review, the Mental Capacity Act 2005 (MCA) provides a statutory framework of 'best interests' decision-making on behalf of incapacitated individuals. However, confusion over the meaning and application of the 'best interests' standard persists. This paper explores the variation in judicial interpretation of the standard and the complexities of best interests decision-making in clinical practice. Prevailing confusion and risk-aversive practices mean that the rights and interests of cognitively impaired individuals continue to be compromised, with evidence to suggest that 'best interests' may be conflated with the clinician's evaluation of 'best medical interests'.
© The Author 2016. Published by Oxford University Press; all rights reserved. For Permissions, please email: journals.permissions@oup.com.

Entities:  

Keywords:  Assessing capacity; Autonomy; Best interests; Cognitive impairment; Mental Capacity Act 2005; Presumption of capacity

Mesh：

Year:  2016        PMID： 26979251      PMCID： PMC4914708          DOI： 10.1093/medlaw/fww007

Source DB:  PubMed          Journal:  Med Law Rev        ISSN： 0967-0742            Impact factor:   1.267


  6 in total

1.  Guidance for family about comfort care in dementia: a comparison of an educational booklet adopted in six jurisdictions over a 15 year timespan.

Authors:  Laura Bavelaar; Adrienne McCann; Nicola Cornally; Irene Hartigan; Sharon Kaasalainen; Hana Vankova; Paola Di Giulio; Ladislav Volicer; Marcel Arcand; Jenny T van der Steen; Kevin Brazil
Journal:  BMC Palliat Care       Date:  2022-05-17       Impact factor: 3.113

2.  End-of-life Decision-making for People in a Minimally Conscious State: A Review of the Application of the Mental Capacity Act 2005.

Authors:  Martin Curtice; Jessica Two; Jonathan Packer
Journal:  Indian J Palliat Care       Date:  2018 Jul-Sep

3.  Discharge Plan to Promote Patient Safety and Shared Decision Making by a Multidisciplinary Team of Healthcare Professionals in a Respiratory Unit.

Authors:  Daniel A Nnate; David Barber; Ukachukwu O Abaraogu
Journal:  Nurs Rep       Date:  2021-07-30

4.  Ethical Implications of e-Health Applications in Early Preventive Healthcare.

Authors:  Mandy Stake; Bert Heinrichs
Journal:  Front Genet       Date:  2022-07-08       Impact factor: 4.772

5.  Exploring physician approaches to conflict resolution in end-of-life decisions in the adult intensive care unit: protocol for a systematic review of qualitative research.

Authors:  Harleen Kaur Johal; Giles Birchley; Richard Huxtable
Journal:  BMJ Open       Date:  2022-07-21       Impact factor: 3.006

Review 6.  The theorisation of 'best interests' in bioethical accounts of decision-making.

Authors:  Giles Birchley
Journal:  BMC Med Ethics       Date:  2021-06-01       Impact factor: 2.652
  6 in total

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