Critically Ill Patient's Capacity

Study Overview
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Brief Summary
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How to determine the decision-making capacity of critically-ill patients remain unclear. The investigator study the differences between standardised evaluation and subjective medical evaluation.

Detailed Description
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After written information and consent, an independent, specially trained investigator interviews patients with a standardised test. After written information and consent, an independent, specially trained investigator interviews residents, doctors and nurses in charge of the patient and ask them how they rates patients capacity.

Official Title
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Critically Ill Patient's Capacity

Conditions
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Decision Making, Critical Illness

Intervention / Treatment
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* Other: Patient's capacity


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Caregivers : Doctors, hospital interns, nurses state of both sexes, aged 18 years or more working in Intensive Care, members of a social security system engaged in a clinic on the day of the assessment Patients : Patients of both sexes, aged 18 years or more hospitalized in Intensive Care, members of a social security system Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Decision making<br> | Other: Patient's capacity<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| correlation between the decision-making capacity and the decision-making capacity assessed by standardized methods | standardized methods (patient has decision-making capacity yes/no) as described by Sessums LL, Zembrzuska H, Jackson JL. Does this patient have medical decision-making capacity? JAMA. 2011;306(4):420-427. doi:10.1001/jama.2011.1023. | at day 1 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| correlation between the global decision-making capacity evaluated by the physician in charge of the patient and the specific decision-making capacity assessed by physician in charge of the patient | Ability to designate a person of confidence, capacity to consent to inclusion in a research protocol, ability to participate in a discussion on the limitation therapy | at day 1 | 
| association between burnout in evaluators and consistency of their decision-making capacity assessments |  | at day 1 | 
| Correlation between the decision-making capacity evaluated by the physician in charge of the patient, the nurse in charge of the patient and a physician not in charge of the patient |  | at day 1 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Intensive Care Units, Judgment, Disability Evaluation, Autonomy