Question

An 82-year-old woman with moderate Alzheimer’s dementia is admitted with acute cholecystitis. She is orientated to person only but is able to repeat back information and express a clear choice when options are explained slowly. She refuses surgery despite understanding that there is a risk of perforation. Her son insists that she should have surgery. According to the Mental Capacity Act and GMC guidance, what is the most appropriate course of action?

Accepted Answer

Respect her refusal of surgery as she appears to have capacity for this decision

Answer

Proceed with surgery as her son is the next of kin

Answer

Proceed with surgery in her best interests because she has dementia

Answer

Apply to the Court of Protection immediately

Answer

Override her wishes because the risk of death is high

Practice question