Complexity, Not Severity: Reinterpreting the Sliding Scale of Capacity

Cambridge Quarterly of Healthcare Ethics 4 (31):506–517 (2022)
  Copy   BIBTEX

Abstract

In this article, we focus on the definition and application of the sliding scale of capacity. We show that the current interpretations of the sliding scale confound distinct features of the medical decision, such as its urgency, its severity, or its complexity, that do not always covary.Wepropose that the threshold for assessing capacity should be adjusted based solely on the cognitive complexity of the decision at hand. We further suggest that the complexity of a decision should be identified based on a patient’s particular cognitive deficits. We utilize the current research on the types of deficits that characterize amnestic dementias and examine which types of medical decisions might be most complex for patients with that type of dementia. We conclude that applying the sliding scale based on individualized judgments of cognitive complexity will improve accuracy of assessment of capacity and enable capable patients to participate in medical decision making.

Author's Profile

Nada Gligorov
Albany Medical College

Analytics

Added to PP
2022-11-19

Downloads
23 (#72,839)

6 months
23 (#42,926)

Historical graph of downloads since first upload
This graph includes both downloads from PhilArchive and clicks on external links on PhilPapers.
How can I increase my downloads?