Patient-Surrogate Agreement in Advance Care Planning: Who Are the Surrogates and Are They Making the Right Decisions?

Toh, Hui Jin; Tan, Laurence; Sim, Lai Kiow; Low, James A.

doi:10.47102/annals-acadmedsg.v47n10p431

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Gaining Insight: What Are the Issues?1

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2022

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“…This was particularly important as it has been shown that disagreements between the surrogate's decision and what patients truly prefer likely stems from falsely high expectations of success rates for life-saving interventions. 17 Bridging the knowledge gap would thus have helped NCK's son make a more appropriate decision. After also considering With regards to surrogate decision-making for patients without mental capacity, there are several approaches to consider.…”

Section: Gaining Insight: What Are the Issues?mentioning

confidence: 99%

The Chameleon of Hope: The Role of Community Hospitals for Complex Patients with Rapidly Evolving Care Needs

Koh¹,

Wong²

2022

SFP

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An 87-year-old male, with a background of ischaemic heart disease, chronic kidney disease, hypertension, and hyperlipidaemia, was admitted for an acute right frontoparietal stroke, which progressed to recurrent cortical infarcts. He was transferred to the community hospital for step-down care and slow stream rehabilitation. Although his acute issues resolved, he continued to require a high level of nursing care. Eventually, the goal of care switched to palliative as his condition deteriorated. This case report highlights the importance of a versatile hospitalist team in managing rapid changes in care, particularly in complex cases with great difficulty fitting into a neat care plan.

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Section: Gaining Insight: What Are the Issues?mentioning

confidence: 99%