Unrepresented Patients In Health Care

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What to do when patients lack decision-making capacity, surro…

(8 days ago) People also askWho are unrepresented patients?Unrepresented patients are often homeless, disabled, elderly or incarcerated, and are among the most vulnerable. When treating unrepresented patients, how should physicians and health care teams respond to their needs?What to do when patients lack decision-making capacity, surrogatesama-assn.orgWhy do health professionals care for unrepresented patients?Health professionals frequently care for patients who are unrepresented—those who lack decision-making capacity, identifiable surrogates, and advance directives. Unrepresented patients are often homeless, disabled, elderly or incarcerated, and are among the most vulnerable.What to do when patients lack decision-making capacity, surrogatesama-assn.orgWhat is the challenge in decision making for an unrepresented patient?The core challenge in decision making for an unrepresented patient is identifying who can make health care decisions for the patient when she cannot make them for herself. As long as the patient retains decision-making capacity, she can make her own health care decisions.Five Things Clinicians Should Know When Caring for Unrepresented Pati…journalofethics.ama-assn.orgWho are “unrepresented” patients & what count as “important” medical decisions?Who Are “Unrepresented” Patients and What Count as “Important” Medical Decisions for Them? Unrepresented patients are hospital patients who lack decision-making capacity but have no advance directive and no one to serve as a legally authorized surrogate.Who Are “Unrepresented” Patients and What Count as “Important” Med…journalofethics.ama-assn.orgFeedbackama-assn.orghttps://journalofethics.ama-assn.org/article/whoWho Are “Unrepresented” Patients and What Count as “Important” …With a view to proposing changes in the law or developing new organizational policies for the care of unrepresented patients, an important initial step is to determine precisely which patients should be considered unrepresented and which aspects of hospital care should be the focus of these efforts. … See more

https://www.ama-assn.org/delivering-care/ethics/what-do-when-patients-lack-decision-making-capacity-surrogates#:~:text=Health%20professionals%20frequently%20care%20for%20patients%20who%20are,or%20incarcerated%2C%20and%20are%20among%20the%20most%20vulnerable.

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How Should Clinicians Navigate Decision Making for …

(2 days ago) WEBSimilarly to health care organizations, treating physicians must consider how potential biases and conflicts of interest could influence their care …

https://journalofethics.ama-assn.org/article/how-should-clinicians-navigate-decision-making-unrepresented-patients/2019-07

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Caring for “unrepresented” patients: 5 things to keep in …

(6 days ago) WEBThe AMA Code of Medical Ethics provides additional guidance on caring for unrepresented patients, such as opinion 2.1.2, “Decisions for Adult Patients Who Lack Capacity,” to involve patients …

https://www.ama-assn.org/delivering-care/ethics/caring-unrepresented-patients-5-things-keep-mind

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Five Things Clinicians Should Know When Caring for …

(2 days ago) WEBIf a patient in a health care organization is incapacitated and has no available surrogate, this means that the patient cannot consent to proposed health care and that nobody …

https://journalofethics.ama-assn.org/article/five-things-clinicians-should-know-when-caring-unrepresented-patients/2019-07

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Making Medical Treatment Decisions for Unrepresented Patients …

(3 days ago) WEBUnrepresented patients in the critical care setting are common . In 2006, White and colleagues found that 16% of patients admitted to an ICU were unrepresented . In …

https://www.atsjournals.org/doi/full/10.1164/rccm.202003-0512ST

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Ethical Challenges in Caring for Unrepresented Adults: A …

(3 days ago) WEBINTRODUCTION. Unrepresented adults are those who lack capacity for decision-making, do not have a surrogate decision maker, and have no advance directive guiding their …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684452/

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Guidance for Treating ‘Unrepresented Patients’ in the ICU - LWW

(8 days ago) WEB“Unrepresented patients in the ICU are among the most vulnerable of patients seen in the health care system,” said lead author Thaddeus Pope, JD, PhD, …

https://journals.lww.com/neurotodayonline/Fulltext/2020/07230/Guidance_for_Treating__Unrepresented_Patients__in.4.aspx

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Decision-making Laws for “Unrepresented” Patients Annals of the

(7 days ago) WEBFigure 2. Surrogate appointment for unrepresented patients. *Second physician must not be superior or subordinate of attending physician. † Individual must not be employed by …

https://www.atsjournals.org/doi/full/10.1513/AnnalsATS.202005-492RL

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What to do when patients lack decision-making capacity, surrogates

(Just Now) WEBHealth professionals frequently care for patients who are unrepresented—those who lack decision-making capacity, identifiable surrogates, and …

https://www.ama-assn.org/delivering-care/ethics/what-do-when-patients-lack-decision-making-capacity-surrogates

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Adults Without Advocates and the Unrepresented: A Narrative …

(3 days ago) WEBPrior studies of unrepresented patients have focused on individual settings such as the ICU (White et al., 2006) or long-term care Interprofessional education and …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9884943/

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Medical Decision Making for Unrepresented Patients: A …

(1 days ago) WEBcategory. Unrepresented patients comprise a substantial percentage of patients in healthcare settings. Although it is difficult to accurately quantify the volume of …

https://www.cuanschutz.edu/docs/librariesprovider139/default-document-library/jce-article.pdf?sfvrsn=dd074abb_2

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Five Things Clinicians Should Know When Caring for …

(1 days ago) WEBSuch unrepresented patients cannot consent to proposed health care, and nobody else is available who is authorized to consent on their behalf. Despite the …

https://pubmed.ncbi.nlm.nih.gov/31333173/

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Making Medical Decisions for Patients without Surrogates

(Just Now) WEBEthical, Compassionate, and Cost-Effective Approach to Health Care Decisions of Unrepresented Patients: A Bioethics Quality Improvement Project, …

https://www.nejm.org/doi/full/10.1056/NEJMp1308197

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Health Care Decisions for Unrepresented Patients

(8 days ago) WEBDecisions made without clear knowledge of an unrepresented patient’s specific treatment preferences must be made in the patient’s best interest, taking into consideration the …

https://calhospital.org/file/health-care-decisions-for-unrepresented-patients/

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Who Are "Unrepresented" Patients and What Count as "Important …

(1 days ago) WEBAbstract. Unrepresented patients are hospital patients who lack decision-making capacity but have no advance directive and no one to serve as a legally …

https://pubmed.ncbi.nlm.nih.gov/31333178/

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Ethical, Compassionate, and Cost-Effective Approach to Health …

(1 days ago) WEBImplementing an Unrepresented Patient Committee policy has created an avenue for ethical and collective decision-making, improved quality and efficiency of medical care …

https://pubmed.ncbi.nlm.nih.gov/33198961/

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Healthcare Decisions for Incapacitated Patients

(7 days ago) WEBTo establish uniform procedures to implement appropriate health care decisions for unrepresented incapacitated patients. Appropriate health care decisions include both …

https://www.scu.edu/ethics/focus-areas/bioethics/resources/healthcare-decisions-for-incapacitated-patients/

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Study: Disparities in access to in-network behavioral health care

(Just Now) WEBPatients went out-of-network 3.5 times more often to see a behavioral health clinician than a medical/surgical clinician in 2021, and up to 20 times more often …

https://www.aha.org/news/headline/2024-04-18-study-disparities-access-network-behavioral-health-care-pervasive

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Advancing Racial Equity in U.S. Health Care: State Disparities

(6 days ago) WEBStudies show as well that many people of color contend with interpersonal racism and discrimination in health care settings and more often receive worse medical …

https://www.commonwealthfund.org/publications/fund-reports/2024/apr/advancing-racial-equity-us-health-care

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Representing Unrepresented Patients Journal of Ethics American

(8 days ago) WEBThis theme issue of the AMA Journal of Ethics addresses the complex challenges of who should make decisions for unrepresented patients and considers values that should …

https://journalofethics.ama-assn.org/article/representing-unrepresented-patients/2019-07

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Why does implicit bias matter in health care? - The Conversation

(2 days ago) WEBMost programs aim to educate health care workers and trainees on implicit bias and how it may affect their patient care, as well as increase awareness about their …

https://theconversation.com/do-implicit-bias-trainings-on-race-improve-health-care-not-yet-but-incorporating-the-latest-science-can-help-hospitals-treat-all-patients-equitably-226289

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Physicians’ Perceived Barriers to Healthcare Healers and Patients …

(1 days ago) WEBThe cost of healthcare, especially without health insurance, is absurdly high and poses a barrier to healthcare for people in poverty. A study by Christopher …

https://healersandpatients.web.unc.edu/2024/04/physicians-perceived-barriers-to-healthcare/

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Women are less likely to die when treated by female doctors, …

(7 days ago) WEBIn the study of people ages 65 and older, 8.15% of women treated by female physicians died within 30 days, compared with 8.38% of women treated by male …

https://www.nbcnews.com/health/health-care/women-are-less-likely-die-treated-female-doctors-study-suggests-rcna148254

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Transgender health care must be paid for by state insurance - NPR

(5 days ago) WEBThe federal appeals court in Richmond, Va., ruled in favor of transgender patients on Monday. The case was brought by Medicaid recipients in West Virginia and …

https://www.npr.org/sections/health-shots/2024/04/29/1247896150/transgender-health-insurance-west-virginia-north-carolina-appeals-court

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Jewish Values in Medical Decision-making for Unrepresented …

(3 days ago) WEBIn addition to that, because physicians often rotate and each one may have different views about proper care plans, unrepresented patients may be exposed to a …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8284992/

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What's at stake as the Supreme Court hears case about abortion in

(4 days ago) WEBAfter two weeks of being dismissed while trying to get care, the patient went to Corrigan's hospital – by that time, she showed signs of infection and had lost so much …

https://www.npr.org/sections/health-shots/2024/04/23/1246611400/whats-at-stake-as-the-supreme-court-hears-idaho-case-about-abortion-in-emergenci

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UnitedHealth paid ransom in Change Healthcare cyberattack, says …

(3 days ago) WEBUnitedHealth said it paid ransom to protect patient data, following the cyberattack on its subsidiary Change Healthcare. But personal data was compromised …

https://www.nbcnews.com/health/health-care/change-healthcare-ransom-cyberattack-patient-data-rcna148959

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Ethical Goals for Decision-Making for Unrepresented Patients

(3 days ago) WEBUnrepresented patients in the critical care setting are common . In 2006, White and colleagues found that 16% of patients admitted to an ICU were …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233335/

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Who Makes Decisions for Incapacitated Patients Who Have No …

(8 days ago) WEBIndeed, one study found that physicians reported considering withholding or withdrawing life support from 37% of unrepresented patients in an intensive care unit in which 16% of …

https://journalofethics.ama-assn.org/article/who-makes-decisions-incapacitated-patients-who-have-no-surrogate-or-advance-directive/2019-07

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The Biden-Harris Administration Issues New Rule to Support …

(3 days ago) WEBProhibits the use or disclosure of PHI when it is sought to investigate or impose liability on individuals, health care providers, or others who seek, obtain, …

https://www.hhs.gov/about/news/2024/04/22/biden-harris-administration-issues-new-rule-support-reproductive-health-care-privacy-under-hipaa.html

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LGBTQ+ health care protections reinstated by Biden …

(5 days ago) WEBThe rule focuses on Section 1557 of the Affordable Care Act, which bans health care providers from discrimination based on race, color, national origin, sex, age …

https://www.washingtonpost.com/health/2024/04/26/biden-lgbtq-health-care-protections/

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How AI Is Being Used to Treat Mental Illnesses - Business Insider

(6 days ago) WEBMental-health professionals explore AI-powered digital therapeutics to treat patients and improve care. AI is being used in the understaffed mental-health-care …

https://www.businessinsider.com/artificial-intelligence-treating-mental-illness-and-used-in-therapy-2024-4

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(1 days ago) WEBPatients have a right to privacy when it comes to their medical information, even when they travel to another state for an abortion, IVF, birth control or other types of …

https://www.cnn.com/2024/04/22/health/biden-administration-new-rule-reproductive-health-care-privacy/index.html

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Ethics of Representing Unrepresented Patients

(5 days ago) WEBEthics Poll. Decisions should be made by the physician in charge of the patient’s care. 2%. An ethics committee should make decisions about an …

https://journalofethics.ama-assn.org/issue/ethics-representing-unrepresented-patients

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USF Health Kidney Stone Center of Excellence: Comprehensive …

(7 days ago) WEBApril 26, 2024. Morsani College of Medicine. The USF Health Kidney Stone Center of Excellence is dedicated to providing advanced care for patients suffering from …

https://www.usf.edu/health/news/2024/kidney-stones-usfh-hernandez-042624.aspx

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