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Volume 339:1794-1795 December 10, 1998 Number 24

Assessing Competence to Consent to Treatment: A guide for physicians and other health professionals

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By Thomas Grisso and Paul S. Appelbaum. 211 pp. New York, Oxford University Press, 1998. $29.95. ISBN 0-19-510372-6.

The ability of patients to make informed decisions about their care may be compromised by their illness, the effects of medication or hospitalization, or mental disorders such as delirium, dementia, or major depression. If patients are deemed incompetent to make informed decisions, they lose the power to make medical choices and to control their own care. In daily practice, it is physicians who frequently determine whether patients lack decision-making capacity. Assessing Competence to Consent to Treatment is a concise, lucid, wise, and practical book on how to do so.

The first chapters thoughtfully describe the pertinent ethical and legal issues . . . [Full Text of this Article]




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