Blindness among nursing home residents

Jason Karlawish; Daniel C. Schainholz; James M. Tielsch; Joanne Katz; Alfred Sommer; Barbara E.k. Klein; Ronald Klein

doi:10.1056/NEJM199509283331315

Blindness among nursing home residents

Jason Karlawish, Daniel C. Schainholz, James M. Tielsch, Joanne Katz, Alfred Sommer, Barbara E.k. Klein, Ronald Klein

Research output: Contribution to journal › Letter › peer-review

Abstract

To the Editor: Tielsch et al. (May 4 issue)¹ are to be commended for their thorough and clinically relevant research on visual impairment in nursing home residents. But why did the authors employ a cognitive examination as a screening instrument to determine whether they would approach subjects or proxies to obtain informed consent? This practice reflects the mistaken notion that the cognitively impaired cannot grant informed consent. Decision-making capacity is at issue in informed consent, not competency.²,³ The assessment of decision-making capacity occurs during the first two parts of an informed-consent interview: disclosure and understanding. A categorical assessment of.

Original language	English (US)
Pages (from-to)	879-880
Number of pages	2
Journal	New England Journal of Medicine
Volume	333
Issue number	13
DOIs	https://doi.org/10.1056/NEJM199509283331315
State	Published - Sep 28 1995

ASJC Scopus subject areas

General Medicine

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abstract = "To the Editor: Tielsch et al. (May 4 issue)1 are to be commended for their thorough and clinically relevant research on visual impairment in nursing home residents. But why did the authors employ a cognitive examination as a screening instrument to determine whether they would approach subjects or proxies to obtain informed consent? This practice reflects the mistaken notion that the cognitively impaired cannot grant informed consent. Decision-making capacity is at issue in informed consent, not competency.2,3 The assessment of decision-making capacity occurs during the first two parts of an informed-consent interview: disclosure and understanding. A categorical assessment of.",

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AU - Karlawish, Jason

AU - Schainholz, Daniel C.

AU - Tielsch, James M.

AU - Katz, Joanne

AU - Sommer, Alfred

AU - Klein, Barbara E.k.

AU - Klein, Ronald

PY - 1995/9/28

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N2 - To the Editor: Tielsch et al. (May 4 issue)1 are to be commended for their thorough and clinically relevant research on visual impairment in nursing home residents. But why did the authors employ a cognitive examination as a screening instrument to determine whether they would approach subjects or proxies to obtain informed consent? This practice reflects the mistaken notion that the cognitively impaired cannot grant informed consent. Decision-making capacity is at issue in informed consent, not competency.2,3 The assessment of decision-making capacity occurs during the first two parts of an informed-consent interview: disclosure and understanding. A categorical assessment of.

AB - To the Editor: Tielsch et al. (May 4 issue)1 are to be commended for their thorough and clinically relevant research on visual impairment in nursing home residents. But why did the authors employ a cognitive examination as a screening instrument to determine whether they would approach subjects or proxies to obtain informed consent? This practice reflects the mistaken notion that the cognitively impaired cannot grant informed consent. Decision-making capacity is at issue in informed consent, not competency.2,3 The assessment of decision-making capacity occurs during the first two parts of an informed-consent interview: disclosure and understanding. A categorical assessment of.

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Blindness among nursing home residents

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