Elizabeth Ryznar, MD, MSc Assistant Professor Department of Psychiatry and Behavioral Sciences Johns Hopkins School of Medicine Baltimore, Maryland
Disclosure Dr. Ryznar reports no financial relationships with any companies whose products are mentioned in this article, or with manufacturers of competing products.
In order to have decision-making capacity, a patient must demonstrate choice, understanding, appreciation, and reasoning. The degree of understanding, appreciation, and reasoning required depends on the capacity threshold, which is determined by a risk/benefit analysis. Conducting a risk/benefit analysis during the coronavirus disease 2019 (COVID-19) pandemic requires consideration of societallevel factors (such as contagiousness to others and health-care utilization) and is complicated by a wide range of uncertainties and divisive sociopolitical views regarding COVID-19.
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Appelbaum PS. Clinical practice. Assessment of patients’ competence to consent to treatment. N Engl J Med. 2007;357(18):1834-1840.