Evidence map›Paper›PMID 39168184›Full record

ArticleClinical medicine (London, England)2024

Improving the systematic screening and documentation of mental capacity for patients with severe brain injury: The Mental Capacity Screening assessment tool (MCScreen).

Lynne Turner-Stokes, Karima Benaichouche-Motam, William Goodison, Adam Altaie, Alice Howard, Patrick McKnight, Jessie Alfonso

Abstract read
In one paragraph

Article in Clinical medicine (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lynne Turner-StokesDepartment of Palliative Care, Policy and Rehabilitation, Faculty of Nursing, Midwifery and Palliative Care, King's College London, UK; Regional Hyper-acute Rehabilitation Unit, London North-West University Hospitals Trust, UK. Electronic address: lynne.turner-stokes@nhs.net.
Karima Benaichouche-MotamRegional Hyper-acute Rehabilitation Unit, London North-West University Hospitals Trust, UK.
William GoodisonRehabilitation Medicine, National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS, UK.
Adam AltaieRegional Hyper-acute Rehabilitation Unit, London North-West University Hospitals Trust, UK.
Alice HowardRegional Hyper-acute Rehabilitation Unit, London North-West University Hospitals Trust, UK.
Patrick McKnightRegional Hyper-acute Rehabilitation Unit, London North-West University Hospitals Trust, UK.
Jessie AlfonsoRegional Hyper-acute Rehabilitation Unit, London North-West University Hospitals Trust, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For patients who may lack capacity, the Mental Capacity Act 2005 requires capacity to be assessed for each decision at the time that treatment is offered, but this is not practical for every element of basic care and intervention delivered to patients undergoing rehabilitation following acquired brain injury, especially if their needs are changing. In this quality improvement project, we introduced a system for screening Mental Capacity and documentation to identify patients with a) largely intact cognition for whom capacity may be reasonably be presumed, and b) those in prolonged disorders of consciousness who clearly lacked capacity for all decisions. This enabled the multidisciplinary team to concentrate on evaluation of capacity in the third group who had more nuanced ability and required detailed assessment or support for decision-making. Two rounds of audit demonstrated that implementation improved the consistency of assessment and documentation. Multicentre roll-out of this approach is now required.

Indexed as

Brain InjuriesDocumentationMental CompetencyAdultFemaleHumansMaleMass ScreeningMiddle AgedQuality ImprovementConsciousness disordersMental capacity assessmentQuality improvementRehabilitationScreening

Identifiers

PMID39168184
PMCPMC11415571

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.