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KMID : 0385620220260020018
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Korean Journal of Psychopathology
2022 Volume.26 No. 2 p.18 ~ p.24
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Assessment of Decision-Making Capacity among Older Adults
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Yim Seon-Jin
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Abstract
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Decision making capacity(DMC) is an ability to understand appropriate information, remember, select and communicate to make a certain decision. It is a complex capacity needed to make vital decisions for health, safety, financial matters and residence of an individual. Studies have found that various functions of brain such as executive function, motivation for reward and punishment and metacognition are neuropsychological basis of DMC. However, present assessment of DMC is not yet reliable to estimate the complex function. Also, the present legal guardianship based on the assessment of DMC is triggering the social isolation of older adults with impaired DMC by vicarious authority of the legal guardians. In the near future supported decision making law rather than legal guardianship is expected to be a new system to support older adults with impaired DMC, so they are provided the maximum support to make decisions of their own. For the new system of supported decision making law, better assessment tools for DMC which can estimate specific real life functions are requested.
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KEYWORD
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decision making capacity, older adults, assessment tools, legal guardianship
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