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Capacity for care package refusal — DGM MCQ

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HardEthics and lawCapacity for care package refusalDGM

An 85-year-old man with Parkinson's disease refuses a care package after repeated falls. He understands the risk of injury but cannot explain how he would obtain food or call for help after a fall. His cognition fluctuates during the day. What is the most appropriate assessment?

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Correct answer: E — Assess capacity for the specific care decision at his best time of day

Capacity assessment should be decision-specific and timed to maximise the person's ability, especially when cognition fluctuates. Clear refusal is not enough if he cannot use or weigh practical consequences. Supportive measures should be attempted before concluding incapacity.

Reference: Mental Capacity Act 2005; NICE NG108