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Who Makes Decisions for Incapacitated Patients Who Have No Surrogate or Advance Directive

Bibliographic Data

ID15747909
AuthorsScott J Schweikart (American Medical Association, corresponding author)
Year2019
Volume21
Issue7
PagesE587-593
Publication date2019-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe AMA Journal of Ethic (JOURNAL)
Journal identifiersISSN: 2376-6980 • E-ISSN: 2376-6980
PublisherAmerican Medical Association (PUBLISHER • US)
DOI10.1001/amajethics.2019.587
PMID31333174
OpenAlexW2953568165
LanguageEN
Citations received3

Unrepresented patients are those who have no surrogate or advance directive to guide medical decision making for them when they become incapacitated. While there is no perfect solution to the problem of making medical decisions for such vulnerable patients, 3 different approaches are noted in the literature: a physician approach, an ethics committee approach, and a guardianship approach. Recent policies and laws have required an approach that is "tiered" with respect to both who is involved and the gravity of the medical treatment questions at issue. In a general sense, some variant of a tiered approach is likely the best possible solution for jurisdictions and health institutions-both those already with and those without a tiered approach-to the challenging puzzle of treating unrepresented patients

Directive · Medical decision making · Medical emergency · Computer Science · Ethics and Legal Issues in Pediatric Healthcare · Healthcare Decision-Making and Restraints · Medicine · Palliative Care and End-of-Life Issues · Psychology

  • Deciding with Others

    Open Access•Emily A Largent, Justin T Clapp et al.•The Hastings Center Report•2022

  • On legal guardianship

    Aldo Barajas-Ochoa, Thomas I Mackie et al.•Medical Teacher•2024

  • Ethical, Legal and Social Implications (Elsi) Regarding Forensic Genetic Investigations (FGIs)

    Open Access•Francesco Sessa, Mario Chisari et al.•Journal of Academic Ethics•2024

Unique citing works3
Citations per year0.75
Citation span2022 - 2024 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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