Bio 105 deciding for other

Bio 105 deciding for other - Practical decision making...

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Practical decision making Deciding for Others (Chapter 5) Many patients do not have the capacity to make health care decisions Ex: children and those with congenital intellectual disabilities Ex 2: Those who once had capacity but then lost it Someone can make decisions as a proxy or a surrogate Three Essential elements of decision-making capacity Ability to understand and communicate relevant information Possession of a framework of values providing a context for particular value judgments The ability to reason about different outcomes, risks, and chicness of success
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Unformatted text preview: If any of these three elements is absent to a significant degree, then the person does not have decision making capacity Consent is only valid if the person has capacity to give it Judgement of capacity is made by a medical professional but isn't a medical or professional judgement (except mental illness) Physician must be aware of any conflict of interest or emotional bagge that could distort the proxy's decisions ex: anxious to preserve inheritance ⁃ "No simple formula exists for determining when this significant other is a better proxy than a family member"...
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