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Competence and capacity at the end of life: uneasy paternalism

Brian H Le and Michael D Chapman
Med J Aust 2012; 196 (5): . || doi: 10.5694/mja12.10209
Published online: 19 March 2012

In reply: We thank Reutens and Peisah for their response to our article.1 We agree that careful capacity assessment is of critical importance — a patient’s capacity should be assessed rather than assumed.


  • Palliative Care Unit, Royal Melbourne Hospital, Melbourne, VIC.


Correspondence: brian.le@mh.org.au

Competing interests:

No relevant disclosures.

  • 1. Le BH, Chapman MD. Competence and capacity at the end of life: uneasy paternalism. Med J Aust 2011; 195: 476-477. <eMJA full text> <MJA full text>
  • 2. Adamis D, Martin FC, Treloar A, Macdonald AJD. Capacity, consent and selection bias in a study of delirium. J Med Ethics 2005; 31: 137-143.

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