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- W2791044575 abstract "•Describe the predicted eruption of unbefriended older adults including risk factors and current strategies that are used for medical decision making in this population.•Determine legal and institutional barriers that may hamper decision making for an unbefriended patient who becomes seriously ill or nears the end of life.•Explore strategies that may be adopted to lessen the incidence of unbefriended patients and develop processes that may be implemented to address medical decision making for an unbefriended patient that will serve to respect and safeguard their rights as an individual. The core of palliative medicine centers around a person's individual concept of quality of life and goals of care. The ability to make autonomous decisions allows a patient to pick and choose treatments and interventions that support their values and preferences. This principal of autonomy is particularly important when an individual approaches end-of-life (EOL). As our population ages, the incidence of cognitive impairment tends to increase putting our elderly at risk for diminished capacity, leaving decision making to a willing surrogate who has some familiarity with the patient. Recent trends however, have indicated an increasing number of elderly are unbefriended without family or friends to function in this role. Patients without a surrogate are often subject to full scope of treatment even at EOL until an appropriate decision maker can be designated. Current methods of obtaining a surrogate may involve legal avenues such as appointment of a guardian, a process that is often long and cumbersome. Once a guardian has been appointed, there is often continued confusion due to the disparity in state statutes that govern a guardian's authority, further complicating the process of decision making. This concurrent session will address recommendations made by the American Bar Association Commission on Law and Aging regarding strategies aimed at decreasing the number of unbefriended elders and creating mechanisms that would allow decision making to be made using methods that are consistent and free of bias. In addition, the American Geriatrics Society position statement regarding the unbefriended elderly will be presented with similar strategies focused on improvement of patient care and respect for individual patient rights. Palliative care teams are in a key position to initiate change and advocate for this vulnerable patient population by developing guidelines and policies that are consistent, unbiased, focused on quality of life and respectful of patient autonomy." @default.
- W2791044575 created "2018-03-29" @default.
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- W2791044575 date "2018-02-01" @default.
- W2791044575 modified "2023-09-30" @default.
- W2791044575 title "Who Will Speak for Me? The Growing Trend of the Unbefriended Elderly Population and Its Effect on End-of-Life Care (SA524)" @default.
- W2791044575 doi "https://doi.org/10.1016/j.jpainsymman.2017.12.347" @default.
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