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OpenLearning

Understanding Capacity

via OpenLearning

Overview

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Explore the foundational principles of decision-making capacity through a practical, case-based learning experience designed for clinicians and care coordinators working across hospital, residential aged care, and community settings. Begin by applying the presumption of capacity in real-world scenarios, understanding how this principle shapes everyday clinical interactions. Examine how capacity is decision-specific, domain-specific, and time-specific, and develop the skills to apply these distinctions confidently in the situations you encounter most often. Learn to identify appropriate triggers for formal capacity assessment and distinguish these from circumstances where least-restrictive, supportive approaches are more suitable. Develop a clear understanding of supported versus substituted decision-making, including the relevant legislative frameworks that govern these processes and how they operate in day-to-day practice. Work through structured risk-benefit analysis to balance dignity of risk with duty of care, supported by applied case discussions and individualised feedback from experienced clinicians. Strengthen your clinical reasoning and documentation practices through this evidence-informed, scenario-driven approach to one of healthcare's most nuanced and consequential responsibilities.

Syllabus

  • Explain decision‑making capacity and apply the presumption of capacity in practice, using real‑world case examples drawn from hospital, residential aged care, and community settings.
  • Recognise that capacity is decision‑specific, domain‑specific, and time‑specific, and apply these principles to practical scenarios commonly encountered in clinical and care coordination roles.
  • • Identify appropriate triggers for formal capacity assessment, and distinguish these from situations where least‑restrictive, supportive approaches are more appropriate, informed by applied case discussion.
  • apply-principles-of-supported-versus-substituted-decisionmaking-with-awareness-of-relevant-legislative-frameworks-and-explore-how-these-principles-operate-in-everyday-practice
  • Balance dignity of risk with duty of care using a structured risk–benefit approach, supported by case‑based learning and individualised feedback from experienced clinicians to strengthen clinical reasoning and documentation.
  • Identify appropriate triggers for formal capacity assessment, and distinguish these from situations where least‑restrictive, supportive approaches are more appropriate, informed by applied case discussion.

Taught by

Kathy Kirby

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