What Is a Surrogate Decision Maker Form

At the 1991 annual meeting of the American Medical Association, the AMA adopted the report of the Council on Ethical and Judicial Affairs, known as “Decisions to Forgo Life-Sustaining Treatment for Incompetent Patients.” The report`s recommendations served as the basis for amendments to Opinion 2.20, known as “suspension or withdrawal of life-sustaining medical treatment”. The report itself provides guidelines for physicians who may need to identify a surrogate decision-maker, help a surrogate mother (substitute decision-maker) make decisions for incompetent patients, and resolve conflicts that may arise between decision-makers or between the choice of decision-maker and medically appropriate options. Since the first inclusion of these guidelines in WADA`s Code of Medical Ethics, the Council has deferred Notice 2.20 to address investigations related to surrogate decision-making, although the guidance presented in this advisory refers only to decisions made towards the end of the life cycle. If no surrogate mother can be identified, the appointed physician can make decisions for the patient. To do this, he must obtain another attending physician who agrees with the treatment plan, who is not involved in the patient`s care and who is not in a position of supervision or partnership with the attending physician. Alternatively, the attending physician may also contact the institution`s ethics officer. If you would like more information on preparing an advance directive, please see: What is a Pension Board? The following people are denied the opportunity to act as surrogate mothers in health care: the question may arise as to how a surrogate mother should make the right decisions for the patient. The proposals that have been proposed are, if the patient is under the guardianship of a court-appointed guardian, the decisions of the guardian will be followed. Alternatively, if the patient has a permanent power of attorney appointing a specific person as an agent to make decisions, the hospital staff will usually follow their wishes. A notarized permanent power of attorney is considered legally binding.

The person designated as an authorized representative or alternate decision-maker should have a copy of the document to prove his or her status. When submitting a living will, another health worker should be identified. The substitute decision-maker must be a trustworthy person who is able to make important decisions on behalf of the client of the living will. The living will must also provide specific instructions in the event that a patient is unable to work. Treatment options should be studied and discussed with a doctor, lawyer and family members. Common instructions may include instructions on how to use a feeding tube. The client`s inclinations should be clearly written and the health worker should have a clear understanding of the instructions given, as well as their execution. [6] A study was conducted to describe physicians` experiences with the communication and decision-making of adult inpatient surrogates.

It was concluded that decision-making between the physician and the surrogate mother can be improved if patients discuss their preferences in advance and if the physician`s contact with the surrogate`s decision-makers is facilitated. [2] Another study conducted by the same group of researchers examined the extent to which physicians report relying on patient preferences when making medical decisions for inpatients who do not have the ability to make decisions. Although a majority of physicians identified patient preferences as the most important general ethical guideline for decision-making in surrogate mothers, they relied on a variety of factors to make treatment decisions for a patient without decision-making capacity. [3] A continuing power of attorney for the health care system can also be called a “medical power of attorney” or a “power of attorney for health care.” This document, which should be notarized, designates an authorized representative or surrogate mother who will act as a decision-maker for your care and treatment in case you are unable to work due to illness or injury and are unable to communicate your wishes. The patient is advised to discuss her intervention and treatment preferences in depth with the surrogate decision-maker before her services are needed. .