In situations where conflict between physicians and substitute decision makers leads to a submission for Consent and Capacity Board review, appropriate documentation of the elements required for consent to life sustaining therapy will be essential.
Therefore, much of the documentation we reviewed would be insufficient grounds for an application to the Ontario Consent and Capacity Board.
Topics included: methods of assessing patients' learning preferences and capacity; the program structure including design responsibilities; program processes including personnel and documentation; interpreter use; and program setting – locations and support resources.
This application and its management of core participant demographics; specimen collection, accession, management and distribution; and capacity for adding additional data elements as 'dynamic extensions' is described in detail within its online user documentation and training modules, http://1.usa.gov/1GHE9Qi.
Industrial production and capacity utilization expand.
This could be linked to better documentation of capacity assessments as part of consent to treatment provisions under Part IV of the MHA to which the majority of forensic inpatients are subjected.
However, adequate resources and capacity are critical.
Despite this success there are important learnings related to project management, leadership, governance, communication, documentation, capacity, resources, collaboration and fostering strong partnerships that should be addressed in future long-term, community-based health promotion projects of this kind.
There will be limited time for the patient, if they had capacity, or their next of kin to review trial documentation and make an informed decision about whether they would wish to participate.
