Mr W did a great job on the test and was lovely. He was judged based on the WTAR and the WAIS-IV.
The results showed a low average to borderline level of general brain performance and minor
problems with attention, working memory, and executive processes in a few areas. Mr W's basic
visual-spatial skills stayed the same, but he struggled with more complicated tasks. Long-winded
information was complex for him to process at first. However, he had no trouble with delayed recall
or identification, and there is no evidence that he has a primary retentive memory problem (Kennedy
& Harper, 2014). It could be because of other things, like the executive parts of the job. Mr W's
thought processes, which were logical and goal-driven, showed no signs of dreams, illusions, or other
psychoses. Kennedy and Harper (2014) found that the people showed a wide range of emotions and
did not act like they had a mood problem. His age and past make me worry about his health.
However, something needed to be shown to show that he could not take care of his money and
health on his own. It is important to remember that Mr W moved to a different state to avoid his son
because they fought about money. Mr W is not an excellent choice to be a guardian.
According to Usher and Stapleton (2022), "decision-making capacity" encompasses the capability of
gathering and discussing relevant information to arrive at sound conclusions. Based on the
information provided, Mr W can make choices about his well-being and money.
It is recommended that Mr W undergo further assessment using the Wechsler Memory Scale-IV
(WMS-IV), the Clock Drawing Test (CDT), and the Macarthur Competence Assessment Tool-Treatment
(MacCAT-T) in order to derive benefits from these additional tests
potentially.
The MacCAT-T is the tool with the most backing when measuring decision-making ability. A patient's
ability to make choices regarding their medical care may be gauged with the use of the MacCAT-T, as
stated by Racine and Billick (2012). Considerations such as the person's expressiveness, situational
awareness, comprehension, and reasoning capacities are considered. The MacCAT-T, as described by
Racine and Billick (2012), is a guided conversation in which the patient chooses a treatment and gives
reasons for it.
The WMS-IV is a battery of memory tests that contains nine different types of quizzes. The first seven
WMS-IV subtests may be taken to get adjusted scaled scores. Immediate Memory Index, Delayed
Memory Index, Auditory Memory Index, Visual Memory Index, and Visual Working Memory Index
are all examples of such subtests (Gregory, 2014).
The CDT is a straightforward instrument that aids medical professionals in determining if a patient
has a cognitive disorder. It is a straightforward instrument that is independent of both language and
culture. The participants request a clock that displays a specific time, and the drawings are then
evaluated. The CDT has high sensitivity and specificity and combines well with other screening
techniques to provide a diagnosis that is more trustworthy and accurate (Feng et al., 2020).
When providing recommendations, reports, or diagnostic or evaluative comments (including forensic
testimony), psychologists must have sufficient evidence and techniques to back up their judgments,
as per section 9.01 of the APA Code of Ethics. Mr W's first assessment forms the basis for his
recommendation. Ethical principle 9.02 of the APA provides a foundation for further testing criteria
and instrument selection. Psychologists use assessment procedures, interviews, exams, and
instruments correctly and for approved purposes based on research or proof of the methods' efficacy
and proper use. The American Psychological Association states that "(b) Psychologists use