Abstract
Mrs Margaret Metcalf is confused, dirty and dishevelled and is declining to bath. She has been assessed as lacking capacity to make decisions so staff have a duty to provide care in her best interests. This article uses a fictional case study to explore how staff can work with family and friends to provide care that meets the needs and aspirations of people who lack capacity. This article follows on from ‘When patients refuse treatment’ published in the January issue of the British Journal of Healthcare Assistants which considered the issue of patients who refused care when they had been assessed as having capacity (Nazarko, 2008).
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