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1

Executive, Scotland Scottish. Making the right moves: Rights and protection for adults with incapacity. Edinburgh: Stationery Office, 1999.

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2

Legal Counsel for the Elderly (Washington, D.C.), American Association of Retired Persons., and United States. Administration on Aging, eds. Decision-making, incapacity, and the elderly: A protective services practice manual. Washington, D.C: American Association of Retired Persons, 1987.

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3

Legal Counsel for the Elderly (Washington, D.C.), American Association of Retired Persons, and United States. Administration on Aging, eds. Decision-making, incapacity, and the elderly: A protective services practice manual. Washington, D.C: American Association of Retired Persons, 1987.

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4

Legal Counsel for the Elderly (Washington, D.C.), American Association of Retired Persons., and United States. Administration on Aging., eds. Decision-making, incapacity, and the elderly: A protective services practice manual. Washington, D.C: American Association of Retired Persons, 1987.

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5

Legal Counsel for the Elderly (Washington, D.C.), American Association of Retired Persons., and United States. Administration on Aging., eds. Decision-making, incapacity, and the elderly: A protective services practice manual. Washington, D.C: American Association of Retired Persons, 1987.

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6

Legal Counsel for the Elderly (Washington, D.C.), American Association of Retired Persons., and United States. Administration on Aging., eds. Decision-making, incapacity, and the elderly: A protective services practice manual. Washington, D.C: American Association of Retired Persons, 1987.

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7

Legal Counsel for the Elderly (Washington, D.C.), American Association of Retired Persons, and United States. Administration on Aging, eds. Decision-making, incapacity, and the elderly: A protective services practice manual. Washington, D.C: American Association of Retired Persons, 1987.

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8

Great Britain. Parliament. House of Commons. Committee of Public Accounts. Public Trust Office: Protecting the financial welfare of people with mental incapacity. London: Stationery Office, 1999.

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9

Veilleux, Anne-Marie. La protection des personnes vulnérables, [2012]. Cowansville: Éditions Yvon Blais, 2012.

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10

Au nom de la loi, je vous protège!: La protection juridique des aînés au Nouveau-Brunswick et au Canada : essai. Moncton, N.-B: Éditions d'Acadie, 1997.

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11

Paul, Torremans. Part V Family Law, 28 Mental Incapacity. Oxford University Press, 2017. http://dx.doi.org/10.1093/law/9780199678983.003.0028.

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This chapter examines mental incapacity as a special issue in private international law. Problems arise in cases where, for example, a mentally incapacitated person may be present in one country but habitually resident in another when measures of protection are needed; or this person may own property situated in a country different from his present location or habitual residence that needs to be dealt with. This chapter considers the jurisdiction of the English courts to order protective measures over a mentally disordered or incapacitated person or over his property, as well as the choice of law rules governing the protection of mentally incapacitated persons, prior to and under the Mental Capacity Act 2005. It also discusses the recognition and enforcement of protective measures taken abroad, along with cases outside the realm of the Mental Capacity Act.
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12

Scotland. Adult Support and Protection (Scotland) Act 2007 (Adults with Incapacity) (Consequential Provisions) Order 2008. Stationery Office, The, 2008.

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13

Protecting the Financial Welfare of People with Mental Incapacity. Stationery Office Books, 1999.

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14

Decision-making, incapacity, and the elderly: A protective services practice manual. Washington, D.C: American Association of Retired Persons, 1987.

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15

Decision-Making, Incapacity, and the Elderly: A Protective Services Practice Manual/Includes Supplement and Update. Legal Counsel for the Elderly, 1987.

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16

Metzger, Eran D., Jacob C. Holzer, and Rebecca W. Brendel. Forensic Issues in the Geriatric Psychiatry Consult Liaison Service and the Right to Accept and Refuse Treatment. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0014.

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The consultation liaison psychiatrist frequently encounters questions of decision-making capacity for hospitalized geriatric patients. This trend will only continue as the population ages and questions about the ability of aging patients to make medical decisions and broader life decisions arise more and more frequently. Consultation liaison psychiatrists tasked with determining these capacities may be faced with a duality of roles: responsibility to the patient but also protective obligations imposed by laws and regulations. Consultation liaison psychiatrists should engage these evaluations carefully and be forthright with patients. An approach focusing on the nature and cause of incapacity, the potential for reversibility of incapacity, adequately informing the patient, relying on colleagues in occupational and physical therapy as well as speech and language pathology for functional assessment, and understanding the patient’s life history and story can lead to results respectful of both the patient’s well-being and dignity. This chapter presents forensic issues relevant to the geriatric psychiatry consultation-liaison service through an illustrative clinical vignette.
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17

Alfonso, César A., Eva Stern-Rodríguez, and Mary Ann Cohen. Suicide and HIV. Edited by Mary Ann Cohen, Jack M. Gorman, Jeffrey M. Jacobson, Paul Volberding, and Scott Letendre. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199392742.003.0025.

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HIV is a risk factor for suicide. Even after developing effective treatments and reducing mortality of HIV in countries with access to care, psychological and medical multimorbidities continue to create distress. This chapter reviews the global epidemiology of suicide in persons with HIV and describes the known predisposing and protective factors, as well as the psychodynamics of suicide. Predisposing factors include course of illness, symptomatic multimorbidities, physical incapacity, history of trauma, past attempts, hopelessness, family suicide, bereavement, poor social support and family relations, unemployment, unstable housing, detectable viral load, and access to lethal means. Protective factors include positive-reappraisal coping skills, treatment adherence, responsibility toward family, having reasons for living, religiosity, higher emotional expression, experiential involvement, and secure attachments. By identifying protective and risk factors clinicians can be more cognizant of persons at risk and better equipped to treat them. Timely application of psychotherapeutic, pharmacological, and psychosocial interventions can treat suicidality and may prevent death by suicide.
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18

Schouten, Ronald, and Rebecca W. Brendel. Guardianships, Conservatorships, and Alternative Forms of Substitute Decision Making. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199387106.003.0006.

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To protect individuals who can no longer make the decisions and carry on the activities of adult life, society has provided processes including the appointment of alternative decision makers, traditionally referred to as guardians of the person (for personal decisions such as medical treatment) and conservators of the estate (for financial decisions). When a person has lost capacity, appointing an alternative decision maker can be problematic, as the person may not have previously expressed preferences regarding health care or financial matters, and there may be disagreement among interested parties such as family members. Advance directives, such as health care proxies, help alleviate these problems by providing a method for the person in question to document his or her preferences and appoint someone to act on their behalf in the event of incapacity. This chapter discusses traditional protections for incapacitated persons, advance directives, and capacities to engage in various decision-making activities.
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19

Protection des malades mentaux et incapacites des majeurs: Le droit belge apres les reformes : actes du 3e colloque de l'Association Famille & Droit : ... 7-8 mai 1993 (Collection Famille & droit). Kluwer, 1996.

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20

Schmidt, Gregory A., and Kevin Doerschug. Promoting physical recovery in critical illness. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0378.

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Survivors of critical illnesses are often faced with persistent neuromuscular weakness that interferes with daily activities. Advancements in survival from critical illness have led to a rise in the number of patients afflicted with post-intensive care unit (ICU) incapacity. It is clear that the pathology leading to ICU-acquired weakness is present within 24 hours of the start of ICU care. Care-givers must consider interventions to limit or reverse these processes from the onset of critical illness. We suggest strategies both for avoiding harms and for actively promoting recovery of skeletal and respiratory muscles. Muscular silence contributes to, while muscular activity alleviates, myopathy. Thus, limiting sedation and neuromuscular blockade will facilitate spontaneous muscle activity, and allow for active participation in physical therapy. Protocols that aggressively assess for the potential for extubation shorten the duration of ventilation and thus decrease exposure to sedation. Mobility teams should safely guide patients in their progress from a passive range of motion through more active therapies despite ongoing critical illness. Early ICU mobility is not only safe, but reduces the incidence of delirium and duration of mechanical ventilation. Importantly, early ICU mobility increases the likelihood of a return to independent function among ICU survivors. A change in culture from one that practices deep sedation and protective support is suggested, to one that demonstrates an urgency to liberate patients from the confines and perils of critical illness.
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