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Capacity is assessed intuitively at every medical encounter and is usually readily apparent These four criteria are 1) communicating a choice, 2) understanding the relevant information, 3) appreciating the situation and its consequences, and 4) reasoning about treatment options. However, a more formal capacity evaluation should be considered if there is reason to question a.

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Use of a standard cognitive assessment instrument is c helpful in assessing for capacity when patients score at the extremes of the scale (very high score favors capacity and very low score favors incapacity). Paul appelbaum outlines four criteria that patients must meet to be deemed to have capacity [1, 2, 3] Capacity is a clinical assessment that can be supported by standardized measures

Determining capacity requires a careful and individualized assessment of a patient’s understanding of relevant information, communication of a choice, appreciation of the situation, and reasoning abilities.

The purpose of the aid to capacity evaluation (ace) is to help clinicians systematically evaluate capacity when a patient is facing a medical decision.