Better Medical Decision Making for Incapacitated Patients - UCLA Health Ethics Center

Better Medical Decision Making for Incapacitated Patients - UCLA Health Ethics Center

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Reasonable expectation of recovery

12 of 41

12 of 41

Reasonable expectation of recovery

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Better Medical Decision Making for Incapacitated Patients - UCLA Health Ethics Center

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

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