“I saw Mr. McTeer in consultation today, concerning his competence to give consent or refuse an amputation for a potentially gangrenous leg. I found him discouraged, and appropriately so, given the circumstances. I do not feel he meets criteria for clinical diagnosis of depression, which would interfere with his understanding of his medical situation. Notably, Mr. McTeer seems ambivalent and is easily influenced (particularly by his daughter). Reference has been made to some tension in their relationship, which may render the previous consent invalid. This will need to be clarified with the daughter expeditiously.
Based on my assessment of Mr. McTeer today, I find him competent to make medical decisions. He will, however, need more information about the services available and his post-op functioning to allow him to make a truly informed decision.
I will be happy to participate in the discharge planning, specifically around competence and capacity.
Dr. P. Ormerod”