In other words, we may be incompetent in one or more areas of life but remain competent in others. To assess capacity or competence in a specific area, physicians should use a process standard in their determination. Most feel that a determination of incapacity in a given area or areas should be time limited, requiring periodic reassessments. A physician may be requested to assess the capacity of a patient. There is a general presumption of capacity in adults.
Practical considerations dictate that informal assessments of capacity occur frequently.
A competency assessment, particularly a formal one, can humiliate or upset the allegedly incompetent person. The burden of proof is on those who raised the concern. Several questions should be asked before starting the evaluation. The risk for the allegedly incompetent person must be determined. Look for reversible illnesses or conditions.