Who Decides When a Patient Can't? Statutes on Alternate Decision Makers

doi:10.1056/NEJMms1611497

. 2017 Apr 13;376(15):1478-1482.

doi: 10.1056/NEJMms1611497.

Who Decides When a Patient Can't? Statutes on Alternate Decision Makers

Erin S DeMartino¹, David M Dudzinski¹, Cavan K Doyle¹, Beau P Sperry¹, Sarah E Gregory¹, Mark Siegler¹, Daniel P Sulmasy¹, Paul S Mueller¹, Daniel B Kramer¹

Affiliations

Affiliation

¹ From the Division of Pulmonary and Critical Care Medicine (E.S.D.), the Biomedical Ethics Research Program (E.S.D., B.P.S., P.S.M.), and the Division of General Internal Medicine (P.S.M.), Mayo Clinic, Rochester, MN; the MacLean Center for Clinical Medical Ethics, University of Chicago (E.S.D., C.K.D., M.S.), the Beazley Institute for Health Law and Policy, Loyola University Chicago School of Law (S.E.G.), and the Department of Medicine, University of Chicago Medical Center (M.S.) - all in Chicago; the Departments of Medicine and Philosophy, Georgetown University, Washington, DC (D.P.S.); and the Division of Cardiology, Massachusetts General Hospital (D.M.D.), Harvard Medical School (D.M.D., D.B.K.), and the Richard A. and Susan F. Smith Center for Outcomes Research, Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center (D.B.K.) - all in Boston.

PMID: 28402767
PMCID: PMC5527273
DOI: 10.1056/NEJMms1611497

Who Decides When a Patient Can't? Statutes on Alternate Decision Makers

Erin S DeMartino et al. N Engl J Med. 2017.

. 2017 Apr 13;376(15):1478-1482.

doi: 10.1056/NEJMms1611497.

Authors

Erin S DeMartino¹, David M Dudzinski¹, Cavan K Doyle¹, Beau P Sperry¹, Sarah E Gregory¹, Mark Siegler¹, Daniel P Sulmasy¹, Paul S Mueller¹, Daniel B Kramer¹

Affiliation

¹ From the Division of Pulmonary and Critical Care Medicine (E.S.D.), the Biomedical Ethics Research Program (E.S.D., B.P.S., P.S.M.), and the Division of General Internal Medicine (P.S.M.), Mayo Clinic, Rochester, MN; the MacLean Center for Clinical Medical Ethics, University of Chicago (E.S.D., C.K.D., M.S.), the Beazley Institute for Health Law and Policy, Loyola University Chicago School of Law (S.E.G.), and the Department of Medicine, University of Chicago Medical Center (M.S.) - all in Chicago; the Departments of Medicine and Philosophy, Georgetown University, Washington, DC (D.P.S.); and the Division of Cardiology, Massachusetts General Hospital (D.M.D.), Harvard Medical School (D.M.D., D.B.K.), and the Richard A. and Susan F. Smith Center for Outcomes Research, Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center (D.B.K.) - all in Boston.

PMID: 28402767
PMCID: PMC5527273
DOI: 10.1056/NEJMms1611497

No abstract available

PubMed Disclaimer

Conflict of interest statement

Dr. Mueller reports receiving consulting and lecture fees from Boston Scientific. No other potential conflict of interest relevant to this article was reported.

Figures

**Figure 1. State Laws Regarding Surrogate Decision Makers**
A more detailed, interactive graphic is available at NEJM.org.

See this image and copyright information in PMC

Comment in

Surrogate Decision Making When Patients Cannot Decide within the Veterans Health Administration System.
Swetz KM, Stanton AK, Lowery JS. Swetz KM, et al. J Palliat Med. 2017 Oct;20(10):1056. doi: 10.1089/jpm.2017.0263. Epub 2017 Jul 21. J Palliat Med. 2017. PMID: 28731837 No abstract available.

Cited by

Through the eyes of Spanish-speaking patients, caregivers, and community leaders: a qualitative study on the in-patient hospital experience.
Nguyen NV, Guillen Lozoya AH, Caruso MA, Capetillo Porraz MGD, Pacheco-Spann LM, Allyse MA, Barwise AK. Nguyen NV, et al. Int J Equity Health. 2024 Aug 21;23(1):164. doi: 10.1186/s12939-024-02246-9. Int J Equity Health. 2024. PMID: 39164755 Free PMC article.
Home Care Clinicians' Perspectives on Advance Care Planning for Patients at Risk for Becoming Incapacitated With No Evident Advance Directives or Surrogates.
Landau AY, Venkatram C, Song J, Topaz M, Klitzman R, Shang J, Stone P, McDonald M, Cohen B. Landau AY, et al. J Hosp Palliat Nurs. 2024 Apr 1;26(2):74-81. doi: 10.1097/NJH.0000000000000998. Epub 2024 Feb 10. J Hosp Palliat Nurs. 2024. PMID: 38340056
Staff and Proxy Views of Multiple Family Member Involvement in Decision Making for Nursing Home Residents With Advanced Dementia.
Roach A, Rogers AH, Mitchell SL, McCarthy EP, Lopez RP. Roach A, et al. J Hosp Palliat Nurs. 2023 Oct 1;25(5):263-270. doi: 10.1097/NJH.0000000000000957. Epub 2023 May 26. J Hosp Palliat Nurs. 2023. PMID: 37235711 Free PMC article.
Gender differences in the intention to withhold life-sustaining treatments involving severe dementia for self and on behalf of parent or spouse.
Chen DR, Jerng JS, Tsai DF, Young Y. Chen DR, et al. BMC Palliat Care. 2022 Oct 6;21(1):171. doi: 10.1186/s12904-022-01062-8. BMC Palliat Care. 2022. PMID: 36203170 Free PMC article.
Together Till the End: Two Cases of Withdrawal of Life Support.
Shalak M, Shariff MA. Shalak M, et al. Cureus. 2022 Aug 10;14(8):e27852. doi: 10.7759/cureus.27852. eCollection 2022 Aug. Cureus. 2022. PMID: 36134113 Free PMC article.

See all "Cited by" articles

References

1. Raymont V, Bingley W, Buchanan A, et al. Prevalence of mental incapacity in medical inpatients and associated risk factors: cross-sectional study. Lancet. 2004;364:1421–7. - PubMed
1. Sorger BM, Rosenfeld B, Pessin H, Timm AK, Cimino J. Decision-making capacity in elderly, terminally ill patients with cancer. Behav Sci Law. 2007;25:393–404. - PubMed
1. Ely EW, Margolin R, Francis J, et al. Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) Crit Care Med. 2001;29:1370–9. - PubMed
1. Cohen S, Sprung C, Sjokvist P, et al. Communication of end-of-life decisions in European intensive care units. Intensive Care Med. 2005;31:1215–21. - PubMed
1. Larson EJ, Eaton TA. The limits of advance directives: a history and assessment of the Patient Self-Determination Act. Wake Forest Law Rev. 1997;32:249–93. - PubMed

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

K23 AG045963/AG/NIA NIH HHS/United States

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations

[1] Raymont V, Bingley W, Buchanan A, et al. Prevalence of mental incapacity in medical inpatients and associated risk factors: cross-sectional study. Lancet. 2004;364:1421–7. - PubMed

[2] Raymont V, Bingley W, Buchanan A, et al. Prevalence of mental incapacity in medical inpatients and associated risk factors: cross-sectional study. Lancet. 2004;364:1421–7. - PubMed

[3] Sorger BM, Rosenfeld B, Pessin H, Timm AK, Cimino J. Decision-making capacity in elderly, terminally ill patients with cancer. Behav Sci Law. 2007;25:393–404. - PubMed

[4] Sorger BM, Rosenfeld B, Pessin H, Timm AK, Cimino J. Decision-making capacity in elderly, terminally ill patients with cancer. Behav Sci Law. 2007;25:393–404. - PubMed

[5] Ely EW, Margolin R, Francis J, et al. Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) Crit Care Med. 2001;29:1370–9. - PubMed

[6] Ely EW, Margolin R, Francis J, et al. Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) Crit Care Med. 2001;29:1370–9. - PubMed

[7] Cohen S, Sprung C, Sjokvist P, et al. Communication of end-of-life decisions in European intensive care units. Intensive Care Med. 2005;31:1215–21. - PubMed

[8] Cohen S, Sprung C, Sjokvist P, et al. Communication of end-of-life decisions in European intensive care units. Intensive Care Med. 2005;31:1215–21. - PubMed

[9] Larson EJ, Eaton TA. The limits of advance directives: a history and assessment of the Patient Self-Determination Act. Wake Forest Law Rev. 1997;32:249–93. - PubMed

[10] Larson EJ, Eaton TA. The limits of advance directives: a history and assessment of the Patient Self-Determination Act. Wake Forest Law Rev. 1997;32:249–93. - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Who Decides When a Patient Can't? Statutes on Alternate Decision Makers

Affiliation

Who Decides When a Patient Can't? Statutes on Alternate Decision Makers

Authors

Affiliation

Conflict of interest statement

Figures

Comment in

Similar articles

Cited by

References

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources