4 Best interests Introduction Decision making The best interests checklist Life sustaining treatment Recording the decision Key Learning Points 4f References and further reading Reflective Exercise Quiz Quiz /4 Chapter 4 Quiz When undertaking a Best Interest decision, it is important to Think about how much time you have got and fit it in Make the decision according to how much it will cost Look at the positives and the negatives to the person of each available option Look at the positives and negatives for the persons support network and how each option will affect them If there is conflict or doubt about whether a decision is truly in the individual’s best interest (including if a professional believes an Attorney or Deputy is no acting in their best interests) the decision will need to be looked at by the Court of Protection. Three people will need to sign it off The person’s next of kin has the final say No decision will be made The which of the following is NOT part of the Best Interests checklist Avoid making assumptions based on age, appearance, condition or behaviour Take the less restrictive alternative or intervention. Involve the person in decision-making, even if they lack capacity to consent. Demonstrate that most views and evidence have been considered The term ‘Best Interests decision making’ refers to The process of decision making when a person is unable to make the decision and does not have an Attorney or Court Deputy When the person who knows the patient or service user best makes the decisions on their behalf Sitting round a table and discussing the person Clinical and care teams deciding what is in the person’s best interests Your score is 0% Restart quiz Next:Introduction 0 Introduction 1 Reflecting on values and bias within mental capacity decision-making 2 The history and current context of mental capacity legislation and policy 3 The concept of mental capacity 4 Best interests 5 Supported decision making 6 Deprivation of liberty: human rights 7 MCA in clinical decisions for care and treatment 8 MCA and the Office of the Public Guardian (OPG) role 9 Conclusion