A. That the person has not already refused treatment B. That the person cannot or is unable to refuse treatment C. That the person does not already have an advanced decision D. That the person is already detained /being treated under the mental health Act
The assessment for no refusals is to make sure that the person being assessed hasn’t already made a decision about a treatment when they were mentally able to do so. This is to make sure that, if so stated, they don’t go against a patient’s wishes to not receive a treatment.
Mental incompetency can be a major factor in why you would want to assess to make sure the patient hasn’t already said they wouldn’t like to receive a treatment. If they have a power of attorney for this point in their life, doctors should check with them to make sure they knew the patient’s wishes, or at least know where they might be able to find such wishes. If the patient has refused the treatment and wishes to continue to refuse it after they have been ruled mentally unable to make those decisions, those wishes should be honored.