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• W2076086875 abstract "Frequently, ICU patients lack the capacity to share discussions and make decisions about their health. Designation of a surrogate and advance directives have been proposed to empower patients and give more place to their autonomy. Even though legitimacy of surrogates is now recognized by physicians, patients' management must take into account new legislations emphasizing patients' autonomy all over Europe.Over the last decade, most western European countries have recognized the validity of advance directives and the process of substitute decision making when a patient is incapacitated. Although the laws of these countries reflect the same approach, there are several differences in the mode of designation of surrogates and in their decisional authority.The present review compares the legal framework of surrogacy in Belgium, Denmark, England, France, Germany, the Netherlands, Spain, and Switzerland. France is the country that confers the weakest power to surrogates in decision making. Patients' competence and the ability of surrogate decision makers to cope with ICU's burden are discussed as the main limitations of the substitute decision-making process. Measures to improve substitute decision making and to limit harmful repercussions are suggested." @default.
• W2076086875 created "2016-06-24" @default.
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• W2076086875 date "2008-12-01" @default.
• W2076086875 modified "2023-09-25" @default.
• W2076086875 title "Surrogate decision makers for incompetent ICU patients: a European perspective" @default.
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• W2076086875 doi "https://doi.org/10.1097/mcc.0b013e3283196319" @default.
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