Noun (uncountable) The quality or state of being competent, i.e. Stream capacity is the total quantity of sediment that a stream can carry, move, transport. He has a complex medical history, including uncontrolled diabetes mellitus type 2, hypertension, chronic kidney disease, and end-stage emphysema. Drugs stand for knowledge of alcohol or drug related activities as well as medical situations that may arise as a result of these substances. Minors (patients under the age of 18) are considered to not have the capacity to make medical decisions. In emergency situations where a patient is incapacitated consent is assumed. He denies any visual or auditory hallucinations, suicidal ideation, guilt, or sadness. Ability, capability, and capacity are synonyms in many of their uses. Refusing one treatment option doesn’t mean they are refusing all treatment options and it doesn’t mean you abandon your patient. The patient signs a form indicating her consent to this procedure. You ask him if he has discussed a vasectomy with his wife to which he replies, "Well, not yet, but I'm sure she'll agree." Tested Concept, Breach patient confidentiality, as this patient's care should be discussed with the daughter as she is his primary caregiver, Breach patient confidentiality, as this patient is a potential victim of elder abuse and that is always reportable, Do not break patient confidentiality, as this would potentially worsen the situtation, Do not break patient confidentiality, as elder abuse reporting is not mandatory, See the patient back in 2 weeks and assess whether the patient's condition has improved, as his condition is not severe, (M1.ST.13.12) Confidentiality also prevents harm caused to a patient by having personal information released to people they don’t want to have it. Refer the cousin to ask the patient's wife about these topics. Journal of Personality and Social Psychology, 51 (5), 918-931. Confidentiality is a set of rules and procedures that limits sharing patient information with anyone outside the medical team. A judicial declaration of incompetence may be global, or it may be limited (e.g., to financial matters, personal care, or medical decisions). A 73-year-old man presents to his primary care physician endorsing 4-5 days of decreased urinary output and mild shortness of breath. But, for two people of equal capacity, their performance may be different. Streams of water carry sediment… CAPACITY. Tested Concept, Immediately disclose the error to the patient, Notify hospital administration but do not notify the patient as no ill effects occurred, Do not disclose the error to the patient as no ill effects occurred, Tell the nurse who administered the drug to notify the patient an error has occurred, Make a note in the patient's chart an error has occurred but do not disclose the error to the patient, (M1.ST.15.73) Refusing lifesaving medical care is not suicide and it is not automatically considered grounds for deeming a patient incapacitated. While competence deals with current state, capability focuses on the ability to develop and flex to meet Future needs. Tested Concept, Genetic testing for collagen synthesis disorder, (M1.ST.13.24) You still do everything you can for the patient except for the treatment options they choose not to accept. capacity is a medical term; competence is a legal term; Competent patients have the right … It is not a physician’s job to investigate potential abuse. Unlike children and vulnerable adults, IPV victims are deemed competent to make their own decision about whether or not the authorities should be involved. All are frequently used to refer to one’s power to perform an action. There are a few other exceptions to informed consent (therapeutic privilege, waiver of consent …) but they are very rarely applied correctly and are low yield for Step 1. Resource capacity management is the hallmark of Posted: (1 days ago) Competence is a legal term that can be defined as being “duly qualified: having sufficient, capacity, ability or authority” — in practice it requires health professionals to perform a functional test of competence to examine the ability of the particular patient to consent to the specific treatment being offered For medical purposes a minor is emancipated if they file to become officially emancipated, live on their own, are married, have children of their own or are pregnant. And in these cases the physician cannot be the one to administer the drug directly. Rock N’ Roll stands for emergency situation in which a parent may not be able to be contacted in time to provide care. She is sexually active with multiple partners and requests a prescription for oral contraceptive pills. Competence is a legal term and a process that speaks to determining the capability of a person to act on his or her own behalf or have the mental capacity to participate in legal proceedings or transactions (e.g., business, medical decisions). Patients are assumed to be competent until there is substantial proof showing otherwise. Capability-based strategies are based on the notion that internal resources and core competencies derived from distinctive capabilities provide the strategy platform that underlies a … Sorry, your blog cannot share posts by email. Which of the following is the most appropriate next step? The way I remember these exceptions is the phrase “sex, drugs and rock n’ roll.”Sex stands for contraception, treatment of STDs, treatment of pregnancy or just the fact that they are having sex which might be found during the history. A 17-year-old girl comes to your outpatient clinic. Asking the patient in front of their family if you can talk to their family is coercive. For example, one might have the ability, capability, or capacity to read two books in a week. Questions of capacity are governed by legislation and will only apply to … He’s accompanied by his niece, is alert, and oriented to person. Competence vs. Capacity to Make Decision Competence - legal term, the court determines it. A 32-year-old male asks his physician for information regarding a vasectomy. Competence therefore is another word describing the ‘know-how’ or ‘skill’ of an individual or business. Capacity is a fluid concept; an individual may have the requisite capacity in one moment and lack capacity in another. The patient denies any symptoms at this time. Minors cannot give informed consent unless emancipated through: A minor's refusal of treatment can be overruled by a parent, Parents cannot withhold life- or limb-saving treatment from their children, but can refuse other treatments, 17-year-old girl whose parents cannot be contacted, patient can choose whether or not to give consent, 17-year-old girl who is requests birth control, provide access even in absence of parental consent, 17-year old girl who requests treatment for an STI, 16-year-old girl refuses but mother consents, 16-year-old girl consents but mother refuses, temporally incapacitated patients, depending on mental state, may provide informed consent, physicians should ensure patients have a safe place to go, Use trained medical interpreters when possible, Committed mentally ill patients retain their rights, transferring a patient to another physician's care is rarely (if ever) a correct answer on the USMLE, If a treatment (such as abortion, birth control, etc) is against a physician's personal beliefs - that physician does not have to provide that treatment; however, they are responsible for referring their patient to a provider who is willing and able to provide such care, consulting risk management alone is rarely (if ever) a correct answer on USMLE, If suspected abuse is occurring, physicians are mandated reporters and MUST report. 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