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Q: Explain how issues of individual capacity may affect informed choice
A: Explain how issues of individual capacity may affect informed choice answer The use of the term "impaired decisionmaking capacity" implies a condition that varies from statistical or species-typical normalcy, [ especially in the context of discussions about the ethics of human subjects research. In this sense, for example, normal immaturity should not be regarded as a decisional "impairment"
since the very young cannot be expected to have achieved the normative level of decisionmaking capacity. Conversely, normal aging need not involve impaired decision making, and assuming such an impairment is inappropriate. (Throughout this report the term "capacity" is used rather than the term "competence"—although the two are often used interchangeably—because the latter often refers to a legal determination made by a court, and the former refers to a clinical judgment.)76 Therefore, "decisional impairment" refers to a limitation or an incapacity that is not part of normal growth and development. Individuals who have some cognitive deficit that renders them incapable of making some treatment decisions may nevertheless be quite functional and independent in activities of daily living. Having a decisional impairment need not imply a particular social or legal status. As a functional term, decisional impairment is neutral with respect to other particular characteristics an individual may possess. Moreover, as Grisso and Appelbaum have noted, what counts as impaired decisionmaking capacity is partly determined by the standard of competence that is chosen. ]
Expert answered|leshlie|Points 0|
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Asked 11/24/2013 7:42:04 AM
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