Characteristics of Patients Referred for Assessment of Decision-Making Capacity in the Acute Medical Setting of an Outer-Metropolitan Hospital – A Retrospective Case Series.

39(1) Australasian Journal of Ageing, e49-e54, Doi.org/10.1111/ajag.12693

14 Pages Posted: 15 Jul 2019 Last revised: 17 Mar 2020

See all articles by Benignus Logan

Benignus Logan

Logan Hospital

Aisling Fleury

Logan Hospital

Lillian Wong

Logan Hospital

Sally Fraser

Logan Hospital

Anne Bernard

University of Queensland

Ben White

Queensland University of Technology - Faculty of Law

Date Written: June 28, 2019

Abstract

Objective: To identify characteristics of older people referred for assessment of decision‐making capacity in the acute hospital setting.

Methods: 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 uni-variate analysis.

Results: 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).

Keywords: decision-making, dementia, geriatrics, length of stay

Suggested Citation

Logan, Benignus and Fleury, Aisling and Wong, Lillian and Fraser, Sally and Bernard, Anne and White, Ben, Characteristics of Patients Referred for Assessment of Decision-Making Capacity in the Acute Medical Setting of an Outer-Metropolitan Hospital – A Retrospective Case Series. (June 28, 2019). 39(1) Australasian Journal of Ageing, e49-e54, Doi.org/10.1111/ajag.12693, Available at SSRN: https://ssrn.com/abstract=3419936

Benignus Logan

Logan Hospital ( email )

Armstrong Rd &, Loganlea Rd
Meadowbrook, QLD 4131
Australia

Aisling Fleury

Logan Hospital ( email )

Armstrong Rd &, Loganlea Rd
Meadowbrook, QLD 4131
Australia

Lillian Wong

Logan Hospital ( email )

Armstrong Rd &, Loganlea Rd
Meadowbrook, QLD 4131
Australia

Sally Fraser

Logan Hospital ( email )

Armstrong Rd &, Loganlea Rd
Meadowbrook, QLD 4131
Australia

Anne Bernard

University of Queensland ( email )

St Lucia
Brisbane, Queensland 4072
Australia

Ben White (Contact Author)

Queensland University of Technology - Faculty of Law ( email )

Level 4, C Block Gardens Point
2 George St
Brisbane, QLD 4000
Australia

HOME PAGE: http://staff.qut.edu.au/staff/whiteb/

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