Virtual Mentor. January 2005, Volume 7, Number 1.
Case 2.3 Surrogate Decision Making—Mrs. Douglas's Choice of Treatment for Her Husband
Related topic: Advance directives
Dr. Kim should have recommended either an advance directive or that Mr. Douglas discuss his preferences with Mrs. Douglas. He might also have raised the possibility of a DNR, should Mr. Douglas be incapacitated. This obligation is especially poignant in this case because Mr. Douglas had a substantial risk of presenting in an emergency situation in which he was incapacitated. Had Dr. Kim discussed the possibility of this kind of situation with Mr. Douglas during their first discussion, Mr. Douglas may have given clear indication about his preferences for treatment.
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