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Unbefriended and Unrepresented: Better Medical Decision Making for Incapacitated Patients without Healthcare Surrogates
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Better Medical Decision Making for Incapacitated Patients - UCLA Health Ethics Center
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- 1 Unbefriended and Unrepresented: Better Medical Decision Making for Incapacitated Patients without Healthcare Surrogates
- 2 Biographical sketch 2. Experiences 1933 to 1939 3. Events during the war 4. Fate - how died or survived
- 3 Decision making capacity
- 4 What is "capacity"
- 5 significant benefits, risks and alternatives to proposed health care
- 6 Able to make a decision
- 7 That's the definition
- 8 When/How to Assess
- 9 Assess capacity carefully
- 10 Patients often lack capacity
- 11 Obstacle 2
- 12 Reasonable expectation of recovery
- 13 1 page form front & back
- 14 Recap
- 15 rd choice - After agent & surrogate
- 16 Ask court to appoint SDM
- 17 Last resort
- 18 Advance directive POLST
- 19 Increasingly common situation
- 20 Big problem
- 21 deaths
- 22 Growing problem
- 23 key factors
- 24 Nobody to authorize treatment
- 25 Treat aggressively
- 26 to appropriate setting
- 27 Need a consent mechanism
- 28 Who decides?
- 29 Interdisciplinary team
- 30 1. Physician 2. Registered professional nurse with responsibility for the resident 3. Other staff in disciplines as determined by resident's needs 4. Where practicable, a patient
- 31 Appellate briefing closes today, Jan. 17
- 32 patterned on IDT
- 33 Variability
- 34 Solo physician
- 35 Most common approach
- 36 causes angst for the greater ethics community
- 37 Having a single health professional make unilateral decisions ...
- 38 Second physician consent
- 39 Attending physician Nurse familiar with patient Social worker familiar with patient Chair or vice-chair of HEC Non-medical (community) member of HEC
- 40 Expert Neutral
- 41 Quick Convenient
