Drs. Geppert and Abbott Reply

摘要

We appreciate Dr. Balhara's thought-provoking questions regarding our case conference. In our article, we attempted to illustrate the three domains of an informed consent evaluation: information including the risks and benefits of a proposed intervention, decisional capacity, and capacity for voluntarism. Information and decisional capacity have traditionally formed the cornerstone of most informed consent evaluations. In the case presented in our article, we described a patient who had impaired capacity for voluntarism and subsequently was not able to provide consent for the particular intervention "in accordance with [his] authentic sense of what [was] best in light of [his] situation, values, and prior history" (p. 412).