An older man without capacity needs a decision about a major operation. He has no lasting power of attorney, no advance decision and no family. What process should be followed?
Answer and explanation
Correct answer: A. A best interests decision, with an independent advocate
- Step 1: Decisions for those without capacity are made in their best interests under the Mental Capacity Act. Step 2. Where there is no one appropriate to consult, an IMCA must be instructed for serious medical treatment decisions to represent his views. Answer: A best interests decision, with an independent advocate. Why not the others: A single clinician should consult widely. A hospital manager has no authority to consent. Neighbours are not appropriate without a close relationship.
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