Question

A 79 year old man with moderate dementia lacks capacity to consent to a necessary cataract operation that would significantly improve his vision and quality of life. There is no valid advance decision or lasting power of attorney. According to the Mental Capacity Act principles reflected in NICE guidance, what should you do?

Accepted Answer

Make a best interests decision involving those close to him and proceed if appropriate

Answer

Do nothing because he cannot consent

Answer

Ask his eldest child to give legally binding consent

Answer

Apply for court approval in all cases of incapacity

Answer

Proceed without discussion as the doctor always knows best

Practice question