Dartmouth Health Continuing Education for Professionals Home, The 51st Meeting of the NH/VT Ethics Committees: Navigating Decision-Making Capacity amid Mental Illness Eating Disorders Part 2 of 4, 10/25/2021 8:00:00 AM - 10/25/2024 9:00:00 AM, Decision-making capacity can be challenging to assess in patients with mental health diagnoses. Clinicians often struggle with the balance between a desire to respect autonomy and a duty to protect. In this conference, we will discuss challenges in decision-making capacity assessment involving adult and pediatric patients with mental health diagnoses.
Presenters
Devendra (Dev) Thakur, MD Staff Physician, Department of Inpatient Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Assistant Professor of Psychiatry, Geisel School of Medicine, Hanover, New Hampshire. Dr. Thakur completed a residency in general psychiatry and a fellowship in consultation-liaison psychiatry (psychosomatic medicine), of which evaluation of capacity is an important focus. I have been directing the psychiatry consultation service here and providing consultation regarding decisional capacity for over five years.
John Corbett, MD PGY- 3 Resident, Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire. Dr. Corbett has directly cared for a specific patient with an eating disorder while in Psychiatry consult services. Study of eating disorders as a resident. Will provide first hand insight gained by caring for this particular unidentified patient.
Learning Outcome(s)
At the conclusion of this learning activity, (at least 75% of) participants will be able to discuss current issues related to ethical dilemmas posed by patients with mental illness who are asked to make a health care related decision.
Disclosure
The activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for this activity have reported NO financial relationship(s)* with ineligible companies**.
* A financial relationship" includes employee, researcher (named as the PI), consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, and/or an ownership interest (not including stocks owned in a managed portfolio).
** An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
Bibliographic Resources
Barstow, Craig, et al. Evaluating Medical Decision-Making Capacity in Practice. American Family Physician, 1 July 2018, https://www.aafp.org/afp/2018/0701/p40.html.
Elzakkers, Isis F.F.M., et al. Mental Capacity to Consent to Treatment in Anorexia Nervosa: Explorative Study. BJPsych Open, vol. 2, no. 2, 2016, pp. 147153., https://doi.org/10.1192/bjpo.bp.115.002485.
Hope, Tony, et al. Agency, Ambivalence and Authenticity: The Many Ways in Which Anorexia Nervosa Can Affect Autonomy. International Journal of Law in Context, vol. 9, no. 1, 2013, pp. 2036., https://doi.org/10.1017/s1744552312000456.
Russon, Lynne, and Dawn Alison. Palliative Care Does Not Mean Giving Up. Boston Medical Journal, vol. 317, 18 July 1998, pp. 196197.
Presenters
Devendra (Dev) Thakur, MD Staff Physician, Department of Inpatient Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Assistant Professor of Psychiatry, Geisel School of Medicine, Hanover, New Hampshire. Dr. Thakur completed a residency in general psychiatry and a fellowship in consultation-liaison psychiatry (psychosomatic medicine), of which evaluation of capacity is an important focus. I have been directing the psychiatry consultation service here and providing consultation regarding decisional capacity for over five years.
John Corbett, MD PGY- 3 Resident, Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire. Dr. Corbett has directly cared for a specific patient with an eating disorder while in Psychiatry consult services. Study of eating disorders as a resident. Will provide first hand insight gained by caring for this particular unidentified patient.
Learning Outcome(s)
At the conclusion of this learning activity, (at least 75% of) participants will be able to discuss current issues related to ethical dilemmas posed by patients with mental illness who are asked to make a health care related decision.
Disclosure
The activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for this activity have reported NO financial relationship(s)* with ineligible companies**.
* A financial relationship" includes employee, researcher (named as the PI), consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, and/or an ownership interest (not including stocks owned in a managed portfolio).
** An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
Bibliographic Resources
Barstow, Craig, et al. Evaluating Medical Decision-Making Capacity in Practice. American Family Physician, 1 July 2018, https://www.aafp.org/afp/2018/0701/p40.html.
Elzakkers, Isis F.F.M., et al. Mental Capacity to Consent to Treatment in Anorexia Nervosa: Explorative Study. BJPsych Open, vol. 2, no. 2, 2016, pp. 147153., https://doi.org/10.1192/bjpo.bp.115.002485.
Hope, Tony, et al. Agency, Ambivalence and Authenticity: The Many Ways in Which Anorexia Nervosa Can Affect Autonomy. International Journal of Law in Context, vol. 9, no. 1, 2013, pp. 2036., https://doi.org/10.1017/s1744552312000456.
Russon, Lynne, and Dawn Alison. Palliative Care Does Not Mean Giving Up. Boston Medical Journal, vol. 317, 18 July 1998, pp. 196197.
