Assessing capacity in inpatients

In this systematic review of capacity assessments in adult general medical patients (without a psychiatric history), they found the overall prevalence of incapacity was 26%, it was often under diagnosed, and the best tool to evaluate it was the ACE (Aid to Capacity Evaluation). This tool is a 7-question tool, can be tailored to the individual, is available online (ACE tool), and is easy to administer (abstract). Incapacity is common in general medical inpatients and should be more routinely assessed.

Danielle Scheurer

Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

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