Capacity Determinations and Elder Self-Neglect.

We recently published an article in this journal on the determination of decision-making capacity in the case of a 55-year-old patient suffering from complicated grief who refuses treatment for stage II breast carcinoma that reviews the principal literature and discusses approaches clinicians can use in assessing capacity [1]. Here, we respond to reader correspondence and expand further on the determination of decision-making capacity by considering the often ethically challenging issue of elder self-neglect.