Freda is persistently drowsy and unable to participate in an assessment of her swallowing. As she is now 2 days post-stroke, nasogastric (NG) feeding should be considered.
Freda should be involved in making this decision. Wait to see if she becomes more alert and you can ask her what she wants.
No. Freda is currently not competent to make a decision on her feeding. In Scotland this is determined under the Adults with incapacity Act 2000 (PDF). She has had no nutrition now for 2 days and it is the responsibility of the medical team to act in her best interests.
Ask Freda’s family to make the decision for her?
No. Freda is currently not competent to make her own decision on her feeding. In Scotland this is determined under the Adults with incapacity Act 2000 (PDF). The principles of this act require the team to take account of Freda’s previously expressed wishes and to consult with relatives. However unless they have been legally appointed as her Welfare Attorney or guardian, they do not have the right to decide Freda’s treatment.
Gather opinion from the multidisciplinary team (MDT) and Freda’s family and attempt to seek a consensus view?
Yes. Freda is unable to make an informed decision for herself. In Scotland this is determined under the Adults with incapacity Act 2000 (PDF). Keeping within the principles of the Act, the medical team have to act in her best interests. Information on Freda’s functional abilities before her stroke and her potential for recovery should be considered. In addition, any information regarding her previously expressed wishes could help make a balanced decision.
Page last reviewed: 12 Nov 2021
