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Making Medical Decisions for Incapacitated Patients Without Proxies: Part I

Cynthia Griggins, Eric Blackstone, Lauren McAliley & Barbara Daly

HEC Forum 32 (1):33-45 (2020)

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Making Medical Decisions for Incapacitated Patients Without Proxies: Part II.Eric Blackstone, Barbara J. Daly & Cynthia Griggins - 2020 - HEC Forum 32 (1):47-62.details In the United States, there is no consensus about who should make decisions in acute but non-emergent situations for incapacitated patients who lack surrogates. For more than a decade, our academic medical center has utilized community volunteers from the hospital ethics committee to engage in shared decision-making with the medical providers for these patients. In order to add a different point of view and minimize conflict of interest, the volunteers are non-clinicians who are not employed by the hospital. Using case (...) Download Export citation Bookmark
Guardianship Before and Following Hospitalization.Jennifer Moye, Andrew B. Cohen, Kelly Stolzmann, Elizabeth J. Auguste, Casey C. Catlin, Zachary S. Sager, Rachel E. Weiskittle, Cindy B. Woolverton, Heather L. Connors & Jennifer L. Sullivan - 2023 - HEC Forum 35 (3):271-292.details When ethics committees are consulted about patients who have or need court-appointed guardians, they lack empirical evidence about several common issues, including the relationship between guardianship and prolonged, potentially medically unnecessary hospitalizations for patients. To provide information about this issue, we conducted quantitative and qualitative analyses using a retrospective cohort from Veterans Healthcare Administration. To examine the relationship between guardianship appointment and hospital length of stay, we first compared 116 persons hospitalized prior to guardianship appointment to a comparison group (n (...) Download Export citation Bookmark

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