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    Capacities of hospitalized, medically ill patients to consent to treatment

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    Authors
    Appelbaum, Paul S.
    Grisso, Thomas
    UMass Chan Affiliations
    Department of Psychiatry
    Document Type
    Journal Article
    Publication Date
    1997-03-01
    Keywords
    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
    Psychiatry
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    Link to Full Text
    http://psy.psychiatryonline.org/cgi/reprint/38/2/119
    Abstract
    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.
    Source
    Psychosomatics. 1997 Mar-Apr;38(2):119-25.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/45721
    PubMed ID
    9063042
    Related Resources
    Link to Article in PubMed
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    UMass Chan Faculty and Researcher Publications

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