patient’s condition, the nature of the proposed treatment, its possible benefits and risks, alternatives to the proposed treatment, and whether the treatment is experimental) and making a treatment recommendation. Te primary role of the patient is to accept or reject that recommendation in light of the provided information and in light of the individual values of the patient. Tese values may involve the special commitments of different religions or cultures. Te process of joint decision-making
normally involves the attending physician (and such consultants as he/ she asks to participate) and the patient. If the patient is a minor, the legal guardian and/or the parents normally replace the patient in the decision-making process. If the patient is an incompetent adult, the legal guardian or the person who has
Notes
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www.tgmc.com (985) 873-4141 : 29
the patient’s durable power of attorney normally replaces the patient in the decision-making process. It is hoped and expected that this
process of joint decision-making will lead to a therapeutic plan that is acceptable to both the physician and the patient. Tere will be occasions, however, when that is not possible. In such cases, referral of the patient to another physician or the situation to the hospital’s Ethics Committee may become appropriate. When appropriate, informed consent
cannot be obtained because of the emergency nature of the case and the unavailability of someone competent to consent, emergency treatment will be performed to preserve the life of the patient or to prevent an impairment of the patient’s health.
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