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So it defines unrepresented as someone who lacks decisional capacity to provide informedconsent to a particular medical treatment. And importantly, our socialworker, Aunt Kelly, actually does a search and I would say 75% of the time she finds somebody maybe even higher than that, finds somebody who’s actually a surrogate.
Alex: And a voice that will be very familiar to our listeners, a dynamic and enthusiastic socialworker in palliative care at the San Francisco VA, Anne Kelly. They had it, the note then documents that they don’t have it. Emily: Looks like informed decision making around family involvement. Welcome back, Lynn.
And yet, I think for everyone who’s elderly, which is anyone who’s my age or older, I would say it’s very important and ought to be part of an annual exam that we ought to be asking that, and documenting it in the chart. I think Bob also noted documenting it. Eric: Anybody else’s thoughts on that?
They found a difference of 4% in documented goals of care discussions. At its heart, it’s always been a brief, hopefully one page document that can be delivered to clinicians and or patients to get them thinking about topics related to goals of care discussions. So that then closes by saying, “Please document a short note.
1- Obtain informedconsent – there are 3 parts to the consent, consent to medical care, consent to the forensic exam we have the power to do this under the criminal law forensic procedure act 1935 and consent to give the information and evidence collected to the police as part of their investigation.
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