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This presentation (32:25 minutes) given by Douglas W. Lane discusses basic principles in decisional capacity evaluation when working with older adults. By the end of this presentation, learners should be able to: (1) explain the essential legal foundations and principles guiding decisional capacity assessment; (2) explain the core medical ethical principles of autonomy vs. protection, dual roles, least restrictive alternative, and 'who is the patient?' in the setting of decisional capacity assessment; (3) describe the specific areas of decisional capacity; and (4) explain the key components of testing required for the assessment of decisional capacity.