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See Latest ArticlesReconceptualizing the Experience of Surrogate Decision Making: Reports vs Genuine Decisions
Annals of Family Medicine, 05/18/09
Braun UK et al. - Physicians should identify clinically reasonable options and elicit the surrogate’s sense of decision-making burden. Some surrogates will be able to make reports, and the physician should make a clear recommendation that implements the patient’s reported preference. Some surrogates will confront genuine decisions, which should be managed by negotiating treatment goals. Requests by the surrogate that everything be done may represent a psychosocially burdensome decision, and support should be provided to help the surrogate work through the decision-making process.
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