A man with severe expressive aphasia after a dominant-hemisphere stroke must decide whether to accept a gastrostomy. He communicates inconsistently

Question

A man with severe expressive aphasia after a dominant-hemisphere stroke must decide whether to accept a gastrostomy. He communicates inconsistently in speech but reliably uses pictures, gesture and yes/no eye movements. What should the team do before concluding that he lacks capacity?

Accepted Answer

Use communication aids, then assess capacity for the gastrostomy decision today

Answer

Use written information alone, then assess recall and verbal reasoning

Answer

Repeat the capacity assessment after expressive speech has recovered

Answer

Ask the nearest relative to complete the gastrostomy consent process

Answer

Use the MoCA score to determine capacity for the gastrostomy decision

MCA – Aphasia Practicable Steps — SCE Neurology MCQ

A man with severe expressive aphasia after a dominant-hemisphere stroke must decide whether to accept a gastrostomy. He communicates inconsistently in speech but reliably uses pictures, gesture and yes/no eye movements. What should the team do before concluding that he lacks capacity?