Helping people make their own decisions

Before deciding someone lacks capacity, take reasonable steps to help them make the decision themselves. In pharmacy practice, simple changes to timing, language, privacy and how information is presented can make a real difference.

Practical support steps

• Use plain language: explain one decision at a time and avoid jargon.
• Choose a better setting: step away from a noisy counter if privacy or concentration is affected.
• Use visual or practical support: labels, written prompts, dosing charts, demonstration devices or organised medicine packs can assist understanding.
• Check whether a better time is possible: some people make clearer decisions earlier in the day or after rest.
• Consider communication support: interpreters, communication aids or a familiar supporter may help when used appropriately.
• Delay if safe to do so: if the person may be able to decide later, do not force the decision now.
• Check understanding properly: where appropriate, ask the person to explain the key point back in their own words.

The question is not only "Can they decide?" It is also "Have we done enough to help them decide for themselves?"