Internal Medicine 2007

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Capacity, Competence, and Surrogate Decision Making in End-of-Life Care

Session #: 857-152
Presenter(s): Joseph Fins, MD, FACP
Session Length: 1:00 hr
Event: 2007 ACP Annual Session
Date: April 19-21, 2007

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PN 026

Clinical questions to be addressed:
How can internists determine whether patients near the end of life are or are not competent to make their own healthcare decisions, and what resources and guidelines are available to assist physicians in this task?
When it has been determined that a patient is not competent, who should be the surrogate decision-maker; and what are the legal requirements in this area?
How can a physician facilitate the surrogate decision-making process when the goals and values of the surrogates appear to conflict with those of the patient or those of each other?

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