HOME >> MEDICINE >> NEWS
Mental incapacity among patients in medical wards more widespread than doctors realise

This release is also available in German.

Doctors working in medical wards with acutely ill and predominantly elderly patients need to be more aware that mental incapacity among their patients-and therefore the inability to give informed consent about treatment-is a potentially widespread problem.

Although patients' mental incapacity is becoming increasingly important in clinical practice, little information is available on its frequency in inpatients. Matthew Hotopf (Institute of Psychiatry, London, UK) and colleagues estimated the prevalence of mental incapacity in acutely admitted medical inpatients; they also determined the frequency that medical teams recognised patients who did not have mental capacity, and sought to identify factors associated with mental incapacity.

Around 300 acute medical inpatients were recruited to the study. The investigators used different assessments to identify whether patients had mental capacity (the ability to make valid judgements about treatment) and to identify individuals with cognitive impairment. 159 patients were interviewed for the study, of whom the researchers judged 31% to lack mental capacity; however, recognition of incapacity by clinical staff was low: only a quarter of patients identified by the investigators as not having mental capacity were identified by clinicians. Increasing age and cognitive impairment were the main factors associated with a lack of mental capacity.

Professor Hotopf comments: "A substantial proportion of inpatients in any general medical ward do not have capacity to make informed treatment decisions, a situation that is rarely recognised by doctors. If a legal approach to solve this problem is too heavy-handed-eg, requiring patients to be more explicitly identified and protected-then people who would be affected by such legislation could be adversely affected. However, to accept the
'"/>

Contact: Joe Santangelo
j.santangelo@elsevier.com
1-212-633-3810
Lancet
14-Oct-2004


Page: 1 2

Related medicine news :

1. Mental health service costs offset by savings in other public sectors
2. Mental health crisis looming for tsunami survivors, warns psychologist just back from Indonesia
3. Mentally ill offender treatment and crime reduction act becomes law
4. Mentally ill have higher odds of developing brain, lung cancers
5. Mental health symptoms common at Pentagon after 9/11
6. Mental health of asylum seekers deteriorates with longer detention
7. Mentally fatigued persons switch to automatic pilot
8. Mentally ill patients receive fewer cardiovascular procedures than rest of population, Yale study finds
9. New Findings On Dopamine Receptor Biology: Implications For Mental Illness
10. Mental Health Services Should Aim To Improve Safety To Prevent Suicide And Homicide
11. New Book Says Cross-Train Your Brain To Increase Mental Function

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:9/3/2018)... ... , ... Trees with fall colors are not a good sign in September. ... September. When a tree is under stress, its leaves will change color early as ... Giroud Tree and Lawn provides the top five Fall warning signs for trees ...
(Date:9/1/2018)... , ... August 31, 2018 , ... “Vitamin D is ... of Trivedi Effect, debuted as a hot new release in Vitamins and Supplements, Medical ... She is currently on a media tour around the United States. , With all ...
(Date:9/1/2018)... Texas (PRWEB) , ... September 01, 2018 , ... ... event proclaimed by the International Veterinary Academy of Pain Management (IVAPM) that aims ... Veterinary Medical Association (TVMA) is partnering with IVAPM by educating pet owners of ...
(Date:8/31/2018)... ... August 31, 2018 , ... Kessler Foundation, a ... of an MRI Simulator. In the MRI Simulator, the individual experiences the conditions ... this mock scan experience, research participants become accustomed to the sights and sounds ...
(Date:8/31/2018)... BEACH, Calif. (PRWEB) , ... August 31, 2018 , ... ... 2018 at SeaLegs at the Beach – an action sports gathering to celebrate the ... Circus Crew. The event raised money for Erik’s wife, Annika and their two small ...
Breaking Medicine News(10 mins):
(Date:9/15/2018)... ... September 14, 2018 , ... ... sequencing to enable greater library coverage. However, severe gaps and limitations associated ... remain. , Multiplexed phage display provides a simple, robust, and seamless high-throughput-ready ...
(Date:9/13/2018)... ... September 13, 2018 , ... Dr. Rod J. Rohrich is pleased to announce ... which draws rhinoplasty experts from around the world, will take place from March 22nd ... fundamentals of nasal anatomy to complex surgical procedures and detailed analysis of revision ...
(Date:9/12/2018)... ... September 12, 2018 , ... Patient experience ... as part of its Population Engage patient experience suite. Express Surveys are ... giving the provider organization a wealth of strategic and tactical knowledge in order ...
Breaking Medicine Technology:
Cached News: