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He contacted Steven Laureys, a member of the Coma Science Group at the University Hospital of Liège in Belgium, to explore how the pupil could be used to communicate a choice.
Since it has been demonstrated that neuroimaging can be used to communicate a choice, we will focus our analysis on the remaining elements.
The concept of 'decision-making capacity' refers to a person's ability to understand, retain and balance information, and communicate a choice [ 1].
Legal competence in health care requires being able to communicate a choice, understanding information one is given, appreciation of one's circumstances and mental capacities to reason and deliberate [ 3, 4].
The physician thus has to make sure that the patient has the ability to understand the relevant information, to grasp the medical consequences of the situation, to weigh up different treatment options and to communicate a choice [ 1].
Hence, ability to understand information and insight into one's illness, along with ability to reason and ability to communicate a choice were held as key criteria and often mentioned in relation to clinical cases.
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Analyses were restricted to patients who were fully communicating a choice (maximum scores on the ability to express a choice scale of the MacCAT-T).
In the opt-out approach, willingness to participate is presumed unless the participant communicates a choice not to participate in the research by the day of surgery.
Decision-making capacity was seen as dependent on understanding, insight, evaluation, reasoning, and abilities related to making and communicating a choice.
Aims To compare the abilities relevant to DMC for treatment in medical and psychiatric patients who are able to communicate a treatment choice.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com