Read through the scenario below, think about what you would do and then check our expert advice to see if we agree.
I recently examined a patient who was affected by dementia. On the day of the sight test they were having a difficult day and were particularly confused, so they attended with their sister. Previously, they had always attended with their daughter, so I was surprised when the sister said they were my patient's power of attorney. How should I assess whether my patient lacks capacity and what evidence should I ask for to check whether someone genuinely has legal responsibility?
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These cases are based on member calls or emails made to our clinical advisers. We do not share any personal details of those seeking advice and have modified the cases to ensure confidentiality. This clinical file is intended to help members understand how the existing Guidance for Professional Practice (GfPP) can be applied in everyday practice, this clinical file is not intended as supplementary or additional annex to the GfPP.
If you have a question or need advice, you can contact the College's clinical advisers during office hours.