Decisional Capacity: Evaluating Patients for Capacity to make Health Care Decisions

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Step Status
Starts On: 7/1/2019: 12:00 AM
Ends On: 6/18/2020: 12:00 AM
Session Type: Internet Activity Enduring Material
Credits: 0.75


Lisa Hale, JD
Sr. Risk Management Coordinator
Encompass Health Corporation
Birmingham, Alabama
Disclosures: No financial relationships to disclose.

Planning Committee

David Carr, MD is the Alan A. and Edith L. Wolff Professor of Geriatric Medicine
Professor, medicine and neurology
Clinical Director, Division of Geriatrics and Nutritional Science
Director, Geriatric Fellowship Program
Medical Director, Parc Provence
Medical Director, The Rehabilitation Institute of St. Louis
- Research Support/Grants: NIA, Missouri Department of Transportation, and State Farm
- Consulting: Medscape, TIRF, University of Toronto, and AAAFTS
- Speakers' Bureaus/Honoraria: St. Louis Alzheimer's Association, ADED, and Canadian Psychiatric Association
Elissa Charbonneau DO, MS is the Chief Medical Officer of Medical Services at HealthSouth Corporation.
Elissa Charbonneau has no financial relationships to disclose.
Tedra Cleveland, MSHA, MBA, CHC is the National Director of Medical Services at HealthSouth Corporation.
Tedra has no financial relationships to disclose.
Richard C. Senelick, MD is an Adjunct Professor of Neurology.
Dr. Senelick has no financial relationships to disclose
Joseph Stillo, MD, PhD is Vice President of Medical Services, HealthSouth Corporation.
Dr. Stillo has no financial relationships to disclose.

encompass healthsouth encompasshealth
Objectives: The intended result of this activity is increased knowledge/competence, and upon completion of this course, participants should be able to:
  • Discuss decisional capacity and competency and explore the distinction between the two
  • Statutory requirements for assessing decisional capacity
  • Discuss the Myths about decisional capacity
  • Discuss advance directives
Additional Information:
Target Audience: This course is designed for Geriatricians, family and emergency physicians, physician assistants, nurse practitioners and other allied health professionals who encounter geriatric patients in a health care setting.

Publication Date: July 1, 2019
Expiration Date: June 18, 2020

Accreditation Information:
In support of improving patient care, this activity has been planned and implemented by EncompassHealth Corporation and Washington University School of Medicine in St. Louis. Washington University School of Medicine in St Louis is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Awarded for this Activity:
Credit Statement:
American Medical Association (AMA Credit)
Washington University School of Medicine in St. Louis designates this enduring material for a maximum of .75 AMA PRA Category 1 Credit™. Learners should claim only the credit commensurate with the extent of their participation in the activity.

  • Merel, Susan, M.D. Decisional Capacity. Primary Care Companion J. Clinical Psychiatry, 1999 Oct. 1(5) 131-141
  • Leo, Raphael J., M.D. Competency and the Capacity to Make Treatment Decisions: A Primer for Primary Care Physicians. Primary Care Companion J. Clinical Psychiatry, 1999 October 1(5): 131-141
  • Veterans Health Administration. Ten Myths about Decision-Making Capacity. National Center for Ethics in Health Care. Department of Veteran Affairs. September 2002.
  • Tunzi, Marc M.D. Can the Patient Decide? Evaluating Patient Capacity in Practice. American Family Physician, July 15, 2001
  • Mitty, Ethel, L. EdD, RN. Decision-Making and Dementia. New York University College of Nursing. 2012.
Disclosure Information: It is the policy of Washington University School of Medicine in St. Louis, Continuing Medical Education, to ensure balance, independence, objectivity and scientific rigor in all its educational activities. All planners, faculty and other persons who may influence content of this CME activity have disclosed all relevant financial relationships with commercial interests. All disclosures have been reported and are indicated with their presentations. Any potential conflicts were addressed and resolved.
All members of the CME department have nothing to disclose.

Speakers are also expected to openly disclose inclusion of discussion of any off-label, experimental, or investigational use of drugs or devices in their presentations.
Presentations are expected to be based on evidence that is accepted within the profession of medicine as adequate justification for their indication in the care of patients. All scientific research should conform to the generally accepted standards of experimental design, data collection and analysis.
These presentations are not an endorsement of any commercial interests.

These presentations are the views and experiences of the presenters. The presenters' views do not represent the policy or position of Washington University School of Medicine in St. Louis. Washington University School of Medicine in St. Louis, Continuing Medical Education, is the sponsor for CME credits.
Categories: Encompass Health Courses, Geriatrics, Psychiatry

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