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Posted on February 8, 2019 at 4:30 AM

Among articles on medical futility disputes and conflicts with law enforcement requests, the February 2019 issue of Medical Ethics Advisor also includes an article on how ethics can help if a surrogate decision-maker is ill-suited for the role.


Surrogates may be ill-suited for the role due to lacking capacity themselves or failing to act in the patient’s best interest. Ethical approaches include:
• Identify ways for unwilling surrogates to step down
• As a last resort, seek appointment of a guardian
• Employ mediation skills to identify acceptable solutions

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