Question

An 82-year-old man with moderately severe Alzheimer's disease is admitted for an inguinal hernia repair. He fluctuates in orientation but today is conversant, describes the operation, and recalls risks explained earlier. His daughter says he lacks capacity and wants to sign the consent form herself. What is the most appropriate next step?

Accepted Answer

Undertake a formal, decision-specific capacity assessment for the patient

Answer

Accept the daughter's consent as next of kin

Answer

Ask the daughter to sign a best interests form without assessing the patient

Answer

Perform the operation under implied consent because it is minor surgery

Answer

Cancel surgery because people with dementia cannot consent

Practice question