Renal 18 Ethics Word Scramble
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Question | Answer |
Court appointed guardians | Have legal priority over other surrogates Happens when pt is incompetent Sought as a last resort |
Surrogates selected by Pt | Set up by living wills Allows the pt to have autonomy |
Family members | Most people want family members to serve as surrogates Often know what the Pt would want Many times, decisions are made as a group |
WV selection hierarchy | 1.Court appointed guardian 2.Spouse 3.Adult children 4.Parent 5.Adult sibling 6.Adult grandchildren 7. Close friend |
If pt selects someone, but hasn't completed a living will... | Should be respected as the pt chose them |
Medical Power of Attorney | Person chosen by pt to make medical decisions Representative's name should be written on MPOA form, witnessed by 2 people and notarized |
Healthcare surrogates | Chosen by physician/adv. nurse to make decisions for pt who did not name a MPOA Generally the person "best qualified" |
Healthcare Surrogates Criteria | -Better able to make decisions according to the pt wishes -Person's regular contact with pt -Demonstrated care and concern -Visit pt during illness -engage in face-to-face contact |
Problems with decision making | If surrogate's decision conflicts with previous statements or best interests Emotional barriers Decisions inconsistent with pt values |
Problems with decision making (cont) | Conflicts of interest -don't be overly suspicious -respecting close relationships is important Disagreements among potential surrogates |
Improving surrogate decision making | After sufficient discussions, surrogates agree in decisions Discuss decision-making process Decisions should be made on the pt's preferences |
Improving surrogate decision making (cont) | Give a recommendation -based on what is known about the pt -important when families are overwhelmed with grief -can be a valuable tool |
Created by:
bcriss
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