1:45 – 2:30 pm Presenter Disclosure Information Assessing Cognitive The following relationships exist related to this presentation: Impairment in the Elderly ►Edwin J. Olsen, MD, JD, MBA: No financial relationships to disclose. SPEAKER Edwin J. Olsen, MD, JD, MBA Off-Label/Investigational Discussion ►In accordance with pmiCME policy, faculty have been asked to disclose discussion of unlabeled or unapproved use(s) of drugs or devices during the course of their presentations. Assessing Cognitive Impairment/Capacity Outline in the Elderly 1. General Concepts Edwin J. Olsen, MD, JD, MBA 2. Issues in Primary Care 3. DSM V—Neurocognitive Disorders • University of Miami, Miller School of Medicine 4. Evaluations Department of Psychiatry (
[email protected]) 5. Testamentary Capacity • President, The Florida Veterans’ Medical & Legal Center, 6. Medical Professions Role Inc. 7. Physician Capacity • Co‐Director Miami VA Healthcare System, Medical/Legal 8. Driving Capacity Clinic 9. Permanency Planning • Veterans Advocacy Project Attorney, Florida International 10. Contested Wills University College of Law General Legal Terms Capacity vs Competency • Testamentary competency: legal concept of being capable of executing a will • Usually Ask: “Is this person Competent?” • Competency: legal definition defined by a • Should ask: “Does this person have the judge capacity to………….(specify) • Capacity: medical determination made by a • Competence is determined by a Judge doctor indicating that an individual • However, used interchangeably. understands relevant facts and appreciates potential out‐comes Civil Capacities Issues in Primary Care 1. To handle funds‐‐Fiduciary (VA Compensation • Identify early dementia—Mild Cognitive & Pensions— “Incompetent for VA Purposes”) Impairment (MCI); Depression 2. To make a will (Testamentary) • Interview and History: How patient presents 3.