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Capacity to refuse antibiotics — DGM MCQ

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ModerateEthics and lawCapacity to refuse antibioticsDGM

An 83-year-old woman with mild dementia refuses antibiotics for cellulitis. She can explain the infection, the option of tablets, the risk of deterioration and why she prefers comfort. Her daughter insists the GP must overrule her. What is the most appropriate assessment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Decision-specific mental capacity assessment

Capacity is decision-specific and should be assessed by whether the person can understand, retain, use or weigh information and communicate a decision. Dementia does not automatically remove capacity, and an unwise decision does not prove incapacity. Family views are important but do not replace a capacitous refusal.

Reference: Mental Capacity Act 2005; NICE NG108