Health Care Decisions For Unrepresented Patients

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How Should Clinicians Navigate Decision Making for …

(2 days ago) The exact prevalence of hospitalized unrepresented patients is unknown, although one study found that 16% of patients admitted to an urban hospital’s intensive care unit lacked decision-making capacity and were unrepresented.4 Unrepresented patients are vulnerable by nature of their inability … See more

https://journalofethics.ama-assn.org/article/how-should-clinicians-navigate-decision-making-unrepresented-patients/2019-07

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Making Medical Treatment Decisions for Unrepresented Patients …

(3 days ago) WEBThe number and complexity of decisions for unrepresented patients may increase as these patients become sicker. However, sometimes the care team expects an unrepresented patient to remain incapacitated with ongoing healthcare needs for a considerable length of time. Health care decision-making [accessed 2020 Apr 14]. …

https://www.atsjournals.org/doi/full/10.1164/rccm.202003-0512ST

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Decision-making Laws for “Unrepresented” Patients Annals of the

(7 days ago) WEBFigure 2. Surrogate appointment for unrepresented patients. *Second physician must not be superior or subordinate of attending physician. † Individual must not be employed by the institution providing health care. ‡ Second physician may be a representative of the facility’s ethics committee but may not be involved in that patient’s care. § Routine …

https://www.atsjournals.org/doi/full/10.1513/AnnalsATS.202005-492RL

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Guidance for Treating ‘Unrepresented Patients’ in the ICU

(8 days ago) WEBA Roadmap to Decision-Making “This provides doctors and hospitals a roadmap for decision-making in cases when decisions are not time-sensitive,” said David Y. Hwang, MD, FAAN, associate professor in the division of neurocritical care and emergency neurology at Yale, who reviewed the paper for Neurology Today.. Dr. Hwang …

https://journals.lww.com/neurotodayonline/Fulltext/2020/07230/Guidance_for_Treating__Unrepresented_Patients__in.4.aspx

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Making Medical Treatment Decisions for Unrepresented …

(1 days ago) WEBA 2020 joint statement by the American Thoracic Society/American Geriatrics Society (ATS/AGS) helpfully offers guidance on designing policies governing decision-making for unrepresented patients who lack capacity to make their own decisions and have no identified surrogate decision-maker.1 However, the statement is limited in 2 …

https://www.amjmed.com/article/S0002-9343(24)00064-0/fulltext

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How Should Clinicians Navigate Decision Making for …

(1 days ago) WEBUnrepresented patients are vulnerable in part because they do not have anyone to help articulate their values and preferences, and they cannot do so themselves. This … Caring for patients who lack decision-making capacity is common in health care and presents numerous practical and ethical challenges.

https://pubmed.ncbi.nlm.nih.gov/31333170/

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Five Things Clinicians Should Know When Caring for …

(1 days ago) WEBDespite the challenge of decision making for unrepresented patients, few laws or professional organization policy statements offer a solution. This article helps fill this void by describing the top 5 things clinicians should know when they are caring for unrepresented patients: (1) realize that these patients are highly vulnerable; (2) …

https://pubmed.ncbi.nlm.nih.gov/31333173/

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Who Are "Unrepresented" Patients and What Count as "Important …

(1 days ago) WEBAbstract. Unrepresented patients are hospital patients who lack decision-making capacity but have no advance directive and no one to serve as a legally authorized surrogate. An important first step in efforts to change the law and develop organizational policies that help respond to these patients' needs is determining which patients should …

https://pubmed.ncbi.nlm.nih.gov/31333178/

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Medical Decision Making for Unrepresented Patients: A …

(1 days ago) WEB298 The Journal of Clinical Ethics Winter 2022 Articles from The Journal of Clinical Ethics are copyrighted, and may not be reproduced, sold, or eploited for any commercial purpose without the epress written consent of The Journal of Clinical Ethics. cent of patients who died in an ICU in 2007.4 Another study estimated that unrepresented pa -

https://www.cuanschutz.edu/docs/librariesprovider139/default-document-library/jce-article.pdf?sfvrsn=dd074abb_2

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Making Medical Decisions for Incapacitated Patients Without …

(3 days ago) WEBThese cases are particularly challenging in intensive care units, where patients require complex medical management and often end-of-life decisions. For the purposes of this paper, these patients will be referred to as “patients without proxies” (PWPs), though other names such as “unbefriended” or “unrepresented” have been …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223299/

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Who Are "Unrepresented" Patients and What Count as

(6 days ago) WEBUnrepresented patients-people without capacity to make medical decisions who also lack a surrogate decision-maker-form a large and vulnerable population within the United States health care system.

https://www.researchgate.net/publication/334655267_Who_Are_Unrepresented_Patients_and_What_Count_as_Important_Medical_Decisions_for_Them

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APPENDIX 2-D HEALTH CARE DECISIONS FOR …

(9 days ago) WEBHEALTH CARE DECISIONS FOR UNREPRESENTED PATIENTS (10/15) California Hospital Association Page 1 of 6 MODEL POLICY FOR GENERAL ACUTE CARE HOSPITALS Appendix 2-D Health Care Decisions for Unrepresented Patients c. Medical intervention has been prescribed; and d. He or she has the opportunity to seek …

https://www.thaddeuspope.com/images/CHA_2015_version_model_policy.pdf

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FAST FACT AND CONCEPTS #476 SERIOUS ILLNESS …

(3 days ago) WEBIf a clinician has done due diligence and still does not know the unrepresented person’s care preferences, transition from a decision-making standard Sellers T. Legal briefing: The unbefriended: making healthcare decisions for patients without surrogates (Part 1) and (Part 2) J Clin Ethics. 2012 Spring;23(1):84-96; 23(2) 177-192. PMID

https://www.mypcnow.org/wp-content/uploads/2024/01/FF-476-Unrepresented-and-adult-orphans.pdf

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How Health Care Leaders View Disparities in Care NEJM Catalyst

(4 days ago) WEBFernández says transparency in equity initiatives is also critical, citing the 2024 Beth Israel Lahey Health Diversity, Equity and Inclusion Progress Report 1 as an example. The report provides data for three broad objectives: Talent (having a workforce that mirrors the diversity of the communities that BILH serves for both leadership and care delivery …

https://catalyst.nejm.org/doi/full/10.1056/CAT.24.0211

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Non-Discrimination in Healthcare Final Rule imposes diligence

(6 days ago) WEBTwo federal agencies under the US Department of Health and Human Services (HHS) – the Office for Civil Rights (OCR) and the Centers for Medicare and Medicaid Services (CMS) – jointly released a comprehensive Final Rule on Friday, April 26, 2024, designed to bolster protections for patients against discrimination in healthcare …

https://www.dlapiper.com/en-us/insights/publications/2024/04/non-discrimination-in-healthcare-final-rule-imposes-diligence-obligations-on-medicare

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How Spiritual Care Impacts the Mental Health of Family Caregivers

(5 days ago) WEBFamily caregivers in the intensive care unit (ICU) will make critical healthcare decisions on behalf of patients who may be incapacitated or critically ill and unable to make their own decisions.. The study, published in the Journal of Pain and Symptom Management, examined the well-being of 128 family caregivers receiving …

https://www.techtarget.com/patientengagement/news/366584652/How-Spiritual-Care-Impacts-the-Mental-Health-of-Family-Caregivers

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How a Payer-Provider Partnership Supported Share Decision-Making

(6 days ago) WEBBut a unique partnership between Blue Cross Blue Shield of Massachusetts and Lahey Beth Israel Health that focused on shared decision-making might provide a novel approach to patient engagement.. In a recent program from the two long-time payer-provider partners, BCBSMA and BILH were able to provide patient education and …

https://www.techtarget.com/patientengagement/answer/How-a-Payer-Provider-Partnership-Supported-Share-Decision-Making

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Making Medical Treatment Decisions for Unrepresented Patients

(1 days ago) WEBBackground and Rationale: ICU clinicians regularly care for patients who lack capacity, an applicable advance directive, and an available surrogate decision-maker.Although there is no consensus on terminology, we refer to these patients as "unrepresented." There is considerable controversy about how to make treatment …

https://pubmed.ncbi.nlm.nih.gov/32412853/

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Cervical Cancer: Screening Policies, Procedures, and Practices

(7 days ago) WEBThe screening policies, procedures, and practices within health facilities focus area includes tools and resources to assess the status of cancer screening, make cancer screening a priority, reduce structural barriers, and use data to identify patients due for screening and opportunities to improve cancer screening rates within a clinical …

https://www.cdc.gov/cancer/php/change-packages/cervical-cancer-screening.html

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Ethical Goals for Decision-Making for Unrepresented Patients

(3 days ago) WEBBackground and Rationale: ICU clinicians regularly care for patients who lack capacity, an applicable advance directive, and an available surrogate decision-maker.Although there is no consensus on terminology, we refer to these patients as “unrepresented.” There is considerable controversy about how to make treatment …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233335/

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Breast Cancer: Screening Policies, Procedures, and Practices

(5 days ago) WEBThe screening policies, procedures, and practices within health facilities focus area includes tools and resources to assess the status of cancer screening, make cancer screening a priority, reduce structural barriers, and use data to identify patients due for screening and opportunities to improve cancer screening rates within a clinical …

https://www.cdc.gov/cancer/php/change-packages/breast-cancer-screening.html

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Colorectal Cancer: Screening Policies, Procedures, and Practices

(9 days ago) WEBThe screening policies, procedures, and practices within health facilities focus area includes tools and resources to: assess the status of cancer screening, make cancer screening a priority, reduce structural barriers, and use data to identify patients due for screening and opportunities to improve cancer screening rates within a clinical …

https://www.cdc.gov/cancer/php/change-packages/colorectal-cancer-screening.html

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Low Trust, Bias Taint Shared Decision-Making for Black Patients

(2 days ago) WEBAn Accenture survey showed that patient trust, healthcare access, and ease of doing business are key to patient loyalty. Patient portal use in the ED paves path forward for health IT care gaps. Researchers said their findings about patient portal use in the ED may mean the care site could bridge health IT care gaps for

https://www.techtarget.com/patientengagement/news/366584492/Low-Trust-Bias-Taint-Shared-Decision-Making-for-Black-Patients

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Opinion Doctors, Not Judges, Should Decide When to Treat …

(7 days ago) WEBMultiple discussions involving the patient, the hospital ethics and palliative care teams, social workers, nurses, psychiatrists and other doctors — discussions that in many respects served the

https://www.nytimes.com/2024/05/13/opinion/treatment-over-objection-medical-ethics.html

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Ethical, Compassionate, and Cost-Effective Approach to Health …

(1 days ago) WEBImplementing an Unrepresented Patient Committee policy has created an avenue for ethical and collective decision-making, improved quality and efficiency of medical care delivery, reduced length of stay, and decreased health care costs. Ethical, Compassionate, and Cost-Effective Approach to Health Care Decisions of …

https://pubmed.ncbi.nlm.nih.gov/33198961/

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Nurses need to be part of AI decisions. Here's why.

(3 days ago) WEBAs artificial intelligence (AI) becomes more widespread in healthcare, nurses are pushing for health systems to be more open with how they plan to use the technology and to include nurses in their decision-making processes for new AI tools. Advisory Board's Ali Knight shares three strategies healthcare organizations can use to increase nurse …

https://www.advisory.com/daily-briefing/2024/05/15/nurses-ai-ec

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Women physicians are underrepresented and feel less impactful in …

(4 days ago) WEBConsidered a best practice at academic medical centers, tumor boards bring together multidisciplinary teams of experts to determine the optimal course of treatment for patients with cancer. In the

https://medicalxpress.com/news/2024-05-women-physicians-underrepresented-impactful-cancer.html

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