Anderson-Shaw Lisa K
The director of the Clinical Ethics Consult Service and co-chair of the Institutional Ethics Committee at the University of Illinois Hospital and Health Sciences System in Chicago.
AMA J Ethics. 2019 Jul 1;21(7):E594-599. doi: 10.1001/amajethics.2019.594.
Acute care hospitals and extended care facilities across the United States care for patients who lack capacity to make medical decisions. When such patients are hospitalized and have no identifiable surrogate, their unrepresented status prompts questions about who should make decisions. This article explores using a regional state unrepresented patient advocacy committee as an alternative to appointment of a legal guardian or to using clinicians as decision makers.
美国各地的急症护理医院和长期护理机构为缺乏医疗决策能力的患者提供护理。当此类患者住院且没有可确认的替代决策者时,他们无人代理的状况引发了应由谁来做决策的问题。本文探讨利用一个地区性州立无人代理患者倡导委员会,作为指定法定监护人或让临床医生担任决策者之外的另一种选择。