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William McKenna

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Review Oct 2026

Decision-making capacity in older adults with SMI and cognitive impairment: an ethical, practice-oriented framework.

OBJECTIVES To synthesize evidence on decision-making capacity in older adults with serious mental illness (SMI) and cognitive impairment (primarily dementia and delirium in hospital settings), and to propose an ethically grounded, practice-oriented framework for assessing and supporting autonomy across key decision dom...

William McKenna · 0 citations

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