A woman with mild cognitive impairment refuses transfusion for symptomatic anaemia and gives reasons others consider unwise. What is the correct

Question

A woman with mild cognitive impairment refuses transfusion for symptomatic anaemia and gives reasons others consider unwise. What is the correct starting point?

Accepted Answer

Presume capacity; assess this decision only if there is reason to doubt

Answer

Require psychiatric confirmation before treating the refusal as capacitous

Answer

Use the patient’s age and treatment risk as capacity indicators

Answer

Override the refusal because serious clinical consequences are foreseeable

Answer

Infer impaired capacity from the established cognitive-impairment diagnosis

MCA First Statutory Principle — SCE Palliative Medicine MCQ

A woman with mild cognitive impairment refuses transfusion for symptomatic anaemia and gives reasons others consider unwise. What is the correct starting point?