title: Researchers offer up a mnemonic tool to guide clinicians who must assess decision-making capacity in patients during emergency situations.
abstract: Clinicians from Johns Hopkins University School of Medicine have developed a mnemonic-driven tool to help clinicians quickly assess whether patients have decision-making capacity during emergency situations. The approach uses the mnemonic "CURVES" to guide physicians to first consider whether patients have decision-making capacity, and then to determine whether treatment can be commenced-without informed consent. The first four letters of the mnemonic "CURVES'" stand for: choose and' communicate, understanding, reason, and value. The authors rote that these four qualities/abilities need to be present to establish decision-making capacity. The last two letters of the pneumonic stand for emergency and surrogate, prompting physicians to consider whether the patient is at immninent risk and whether there is a surrogate decision-maker available. The authors note that while the issues represented by the CURVES pneumonic should be very familiar to clinicians, effective use of the tool requires training and practice.
mesh_terms: D003657:Decision Making; D004636:Emergency Service, Hospital; D006801:Humans; D016743:Mental Competency; D010361:Patients / Q000523:psychology*; D011369:Professional-Patient Relations