State statute governing resuscitative decisions requires that (1) all persons be presumed to have capacity to make their own treatment decisions, and thus incapacity must be established by written determination of attending physician; failure to do so was sufficient basis to rescind DNR order requested by surrogate; (2) surrogate decision to request DNR order must be supported by the patient's current medical condition and fulfill statutory criteria; physicians' opinions regarding hypothetical future conditions and failure to support "medical futility" of treatment for patient did not support surrogate decision; and (3) statutory provision allowing surrogate to authorize DNR order on basis that resuscitative measures would pose an "extraordinary burden" for patient is unconstitutionally vague.
关于复苏决策的州法规要求:(1)所有人均应被推定为有能力做出自己的治疗决策,因此无行为能力必须由主治医生的书面判定来确定;未能如此做是撤销替代人所请求的“不要复苏”(DNR)医嘱的充分依据;(2)替代人请求“不要复苏”医嘱的决定必须有患者当前的病情作为支撑,并符合法定标准;医生关于假设的未来状况的意见以及未能支持对患者治疗的“医疗无效性”,均不能支持替代人的决定;以及(3)法规中允许替代人基于复苏措施将给患者带来“超常负担”而授权“不要复苏”医嘱的条款在宪法上含糊不清。