"Is she fit to sign, doctor?"--practical ethical issues in assessing the competence of elderly patients.
Level V
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Abstract
The competence of elderly people to participate in medical decision-making is often called into question. This article explores the concept of competence as it relates to elderly people, and outlines the guiding ethical principles of autonomy and beneficence. Practical guidelines are offered on how competence can be assessed and some avoidable pitfalls are highlighted.