A 40-year old schizophrenic patient needs hernia repair. The surgeon discussed the procedure with the patient who understood the procedure. Yes, if a psychiatric patient understands the procedure, he or she can give the consent.
Capacity is ascertained on a decision by decision support and at the beginning a person is always supposed to possess capacity.
If a patient can store, comprehend as well as reproduce the information needed to build a decision, then they are assumed to possess capacity to make that particular decision.
It may not essentially be the one that the physician agrees with, however, it is not necessary for the patient to justify their reasoning.
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