the impact on the ground the only purpose for which power can be - - PowerPoint PPT Presentation

the impact on the ground the only purpose for which power
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the impact on the ground the only purpose for which power can be - - PowerPoint PPT Presentation

Assisted Decision Making Bill - the impact on the ground the only purpose for which power can be rightfully exercised over any member of a civilized community, against his will, is to prevent harm to others. His own good, either physical


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Assisted Decision Making Bill -

the impact on the ground

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SLIDE 2

“the only purpose for which power can be rightfully exercised over any member of a civilized community, against his will, is to prevent harm to

  • thers. His own good,

either physical or moral, is not a sufficient warrant.”

1859

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SLIDE 3

Assessment of capacity - Lunacy Regulation 1871

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SLIDE 4
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SLIDE 5

Cases

J.

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SLIDE 6

Cases

J.

569 days

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SLIDE 7

Cases

A.

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SLIDE 8

Cases

A.

308 days

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SLIDE 9

Cases

D.

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SLIDE 10

Cases

D.

266 days

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SLIDE 11

Impact on Hospital

  • average 9 at any one time
  • average 18 months to process
  • 3,285 bed-days per annum (=470 average

medical admissions)

  • €2.95 million per annum
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SLIDE 12

Capacity Assessment

  • Status approach
  • Outcomes approach
  • Functional approach
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SLIDE 13
  • Capacity to go decide on going home
  • Capacity to create an enduring power of attorney
  • Capacity to create a will - testamentary capacity
  • Capacity to engage in Fair Deal (=financial

capacity)

  • Capacity to refuse treatment
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SLIDE 14
  • Capacity to go decide on going home
  • Capacity to create an enduring power of attorney
  • Capacity to create a will - testamentary capacity
  • Capacity to engage in Fair Deal (=financial

capacity)

  • Capacity to refuse treatment
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SLIDE 15

"Best interests" vs - Dignity Bodily integrity Privacy Autonomy Beliefs and values Preferences

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SLIDE 16

In Irish Law - Everyone has capacity until shown otherwise

Ir Med J. 2001 Sep;94(8):234-6. Autonomy vs welfare? Anatomy of a risky discharge.