Understanding mental capacity
Understanding mental capacity

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3.3 How is a decision made on behalf of someone else?

According to an idea first put forward by a community learning disability nurse, Jenny White, there are at least seven principles that should be followed by someone who is making a decision on behalf of a person who lacks mental capacity (Mencap, n.d.). These are listed in Table 1 along with a mnemonic by which they can be remembered.

Table 1 The seven factors
RConsider whether the person can Regain capacity
EEncourage and Enable participation of the adult throughout the decision
FTake into account the adult’s past and current Feelings about this decision
LIs Life-sustaining treatment an issue?
EShow Equal consideration and non-discrimination
CConsider all relevant Circumstances
TTake the views of others into account

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