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So it defines unrepresented as someone who lacks decisional capacity to provide informedconsent to a particular medical treatment. I think it’s kind of multilayered and I think that one area in particular to intervene is patients going into longtermcare. This is Eric Widera.
Eric: Just for the aging population, what about long-termcare? And so, I kind of partner with my patients and say… First of all, I use agreements. I have to do them where I work, but I use them as an opportunity for informedconsent. I know many won’t take folks who have mobility problems.
So a lot of the skills that are used in advance care planning are the same kind of skills you would use in a context where you were communicating information or prognosis or doing an informedconsent discussion. So I think that really questioning what we do is a good thing that routes to improved patientcare.
But at the same time, we’re saving a lot of moral distress of the longtermcare staff in terms of having to bear watching people not have thirst needs addressed. Who do you give informedconsent to? It’s just not quite as quick or effective as they had desired in their advanced directive.
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