Capacity overview
Capacity resource

Teach-back questions

Ask open questions, give the patient enough time and communication support, and document their own words.

Suggested prompts

  1. 1

    Tell me what you understand is happening right now.

  2. 2

    What care are we recommending, and why?

  3. 3

    What could happen if you do not receive that care?

  4. 4

    What other options have we discussed?

  5. 5

    How do those risks and options apply to you?

  6. 6

    Why does your chosen option make the most sense to you?

  7. 7

    What would make you call 911 again or seek help immediately?

Listen for evidence

Map responses to the framework

Understand

Can the patient explain the condition, proposed care and alternatives in their own words?

Appreciate

Can the patient explain how the likely benefits and risks apply to their own situation?

Reason

Can the patient compare options and give a coherent reason for the choice?

Communicate

Can the patient communicate a stable choice by speech, writing, gesture or supported communication?

Voluntary

Is the decision free from coercion or undue influence?