Question

A 79-year-old man with advanced dementia is admitted with a hip fracture after a fall. He is confused, unable to understand information and lacks capacity to consent to surgery. The orthopaedic team believe surgery is in his best interests. There is no advance decision refusing treatment. What is the most appropriate action

Accepted Answer

Proceed with surgery in his overall best interests after multidisciplinary discussion

Answer

Refuse surgery because he cannot give written consent

Answer

Delay surgery until an independent mental capacity advocate can attend, even if this takes several days

Answer

Ask his nearest relative to sign a consent form to replace his decision

Answer

Discharge him home for conservative management

Practice question