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Can this patient go home? Assessment of decision-making capacity


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    It is acknowledged that there is not yet perfect clarity regarding how the World Health Organization, International Classification of Functioning, Disability and Health (WHO ICF) (World Health Organization, 2001) is to be used to describe the situations where people with activity limitations who cannot manage their own personal care have their personal care needs met by others. These could be considered to be an absence of personal care participation restrictions, or alternately be thought of as persisting personal care participation restrictions with the situations described by the use of environmental factor items. In this article, the presence of inability to manage personal care alone or with the usually available help in the usual environment is termed ‘personal care participation restriction’.

Peteris Darzins FRACP, FRCPC, PhD, BMBS; Professor and Director of Geriatric Medicine.Correspondence: Peteris Darzins, Director of Geriatric Medicine, Eastern Health, Peter James Centre, Locked Bag 1, Burwood East, 3151. Email:

No abstract is available for this article.