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Characteristics of patients referred for assessment of decision-making capacity in the acute medical setting of an outer-metropolitan hospital-A retrospective case series.

Authors
  • Logan, Benignus1
  • Fleury, Aisling1
  • Wong, Lillian1
  • Fraser, Sally1
  • Bernard, Anne2
  • White, Ben3
  • 1 Logan Hospital, Logan, Queensland, Australia. , (Australia)
  • 2 QFAB Bioinformatics, Institute for Molecular Bioscience, University of Queensland, Brisbane, Queensland, Australia. , (Australia)
  • 3 Queensland University of Technology, Brisbane, Queensland, Australia. , (Australia)
Type
Published Article
Journal
Australasian journal on ageing
Publication Date
Mar 01, 2020
Volume
39
Issue
1
Identifiers
DOI: 10.1111/ajag.12693
PMID: 31250967
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To identify characteristics of older people referred for assessment of decision-making capacity in the acute hospital setting. A retrospective chart audit was undertaken for 98 consecutive medical inpatients referred for capacity assessments between February 2015 and August 2017 in an outer-metropolitan hospital. The data were analysed using descriptive and univariate analysis. In this case series, 56% of patients had a diagnosis of dementia. Social isolation was common; 70% were not presently married, and 63% had no community services. For 90% of patients, the referral was to determine the person's capacity to make their own accommodation decisions-usually to return home on discharge. Of those with impaired capacity, 54% were discharged to residential aged care, whilst most who retained capacity were discharged home (73%). Those with impaired capacity were more likely to have a diagnosis of dementia and a prolonged length of stay (both P < 0.001). © 2019 AJA Inc.

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