Decisions 25/10/2023 ![]() Consult an ethics committee or other institutional resource when:.Quality of life as experienced by the patient.Impairments that may result from the intervention.The degree of and potential for benefit.The pain and suffering associated with the intervention.Best interest decisions should be based on: Assist the surrogate to make decisions in keeping with the best interest standard when the patient’s preferences and values are not known and cannot reasonably be inferred, such as when the patient has not previously expressed preferences or has never had decision-making capacity.The patient’s attitudes toward sickness, suffering, and certain medical procedures.How the patient constructed his or her life story.The patient’s views about life and how it should be lived.The patient’s preferences (if any) as expressed in an advance directive or as documented in the medical record. ![]() Assist the surrogate to make decisions in keeping with the standard of substituted judgment, basing decisions on:. ![]()
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