A 72-year-old man with a recent ischaemic stroke is being assessed for swallowing. The SLT recommends a soft diet and thickened fluids. He is frustrat...

Question

A 72-year-old man with a recent ischaemic stroke is being assessed for swallowing. The SLT recommends a soft diet and thickened fluids. He is frustrated and asks to eat normal food. He has capacity. Under the MCA 2005, can he refuse the SLT recommendations?

Accepted Answer

Yes - if he has capacity, he can make an unwise decision, but he should be informed of the risks of aspiration and the clinical team should document the discussion and his decision

Answer

No - he must follow the SLT recommendations as they are legally binding

Answer

No - the clinical team can override his wishes for his own safety

Answer

Only if his family agrees

Answer

Only if a psychiatrist confirms his capacity

uk-dgm MCQ (SBA): Capacity to Refuse SLT Recommendations

A 72-year-old man with a recent ischaemic stroke is being assessed for swallowing. The SLT recommends a soft diet and thickened fluids. He is frustrated and asks to eat normal food. He has capacity. Under the MCA 2005, can he refuse the SLT recommendations?