Decisional Capacity In Nursing

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A second legal and ethical issue questioned is whether the patient has decisional capacity and has the ability to participate in autonomous decisions. Decisional capacity is not defined strictly by chronologic age. Many authors agree that children under age 13 years do not have the capacity to make decisions regarding serious intervention such as bariatric surgery (Inge et al., 2004a). Assent for surgery must be taken from the child/adolescent patient, and informed permission must be reported from the parents/guardians before surgery. Most of experts generally consider the age range of 8-14 years to be candidate for assent, with younger children unable to give meaningful participation in medical decisions and older individuals capable of giving

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