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
|R||Consider whether the person can Regain capacity|
|E||Encourage and Enable participation of the adult throughout the decision|
|F||Take into account the adult’s past and current Feelings about this decision|
|L||Is Life-sustaining treatment an issue?|
|E||Show Equal consideration and non-discrimination|
|C||Consider all relevant Circumstances|
|T||Take the views of others into account|