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from Section 3.15 - Psychiatric Disorders Encountered in Intensive Care
Published online by Cambridge University Press: 27 July 2023
Key Learning Points
1. The four components of capacity concern a patient’s ability to understand, retain, weigh and communicate a decision.
2. It is the responsibility of the lead clinician to ensure that capacity has been assessed and to make the final decision regarding capacity, even where a professional opinion has been sought.
3. The Mental Capacity Act (MCA) 2005 allows treatment of patients for MEDICAL conditions only, under the ‘best interests’ principle.
4. All patients admitted to the intensive care unit should be considered at risk of deprivation of liberty, and a Deprivation of Liberty Safeguards (DoLS) assessment should be considered.
5. The Mental Health Act (MHA; 1983) allows treatment of patients for PSYCHIATRIC conditions only.
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