II. Indications
- Decision-Making Capacity Evaluation
III. Criteria
- Choose and communicate
- Can the patient make a choice and communicate that choice?
- Understand
- Can the patient understand benefits, risks and alternatives?
- What problem are you having right now that brought you to the hospital?
- What are the treatments for your problem?
- What are the risks of treatment and the odds you might have a side effect or bad outcome?
- What will happen if nothing is done?
- Reason
- Can the patient make a logical, rational choice?
- What factors are most important in your decision?
- Value
- Is the choice the patient makes consistent with their values?
- Emergency
- Is there an impending, emergent risk to the patient?
- Surrogate
- Is there a decision maker available?
- Does the patient have an Advanced Directive?
- Is there a designated medical power of attorney?
- Is there a close relative (spouse, adult child, parent, sibling)?
IV. Interpretation
- First 4 letters (C-U-R-V)
- Assess the Decision-Making Capacity of the patient
- Last 2 letters (E-S)
- Assess whether emergency treatment can be delivered without Informed Consent