Guidelines for proceeding with a plan of care when family members have conflicting opinions about the patient’s wishes and the patient does not speak the same language as her physicians.
Newly arrived immigrants seeking health care in the United States encounter several problems including language, cultural, societal, and logistic barriers.
Organ procurement organization representatives play a pivotal role in serving families of a deceased donor and mediating disagreements about the donation while physicians' involvement in these discussions is minimal.
Physicians need to help surrogate decision makers to make treatment and end-of-life decisions for those with severe neurological damage by proving a realistic prognosis and maintain strong lines of communication.