Download Hospitalists' guide to the care of older patients by Brent C. Williams, Preeti N. Malani, David H. Wesorick PDF

By Brent C. Williams, Preeti N. Malani, David H. Wesorick

''Providing a realistic, updated reference in Geriatric drugs, Hospitalists' consultant to the Care of Older sufferers is the 1st publication written particularly for hospitalists who desire concise, evidence-based details at the very important subject of taking care of older hospitalized sufferers. This groundbreaking textual content covers the care of older sufferers, their wishes and vulnerabilities, and the present medical institution practice Read more...

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36 CHAPTER 4 INFORMED DECISION-MAKING AND THE EVALUATION 4. Does the patient understand the information provided? 5. Is the patient able to apply the information to their own clinical situation? 6. Does the patient demonstrate sound reasoning abilities? The first two questions need to be answered by the treating physician, while the last four questions are to be demonstrated by the patient and are assessed to determine DMC. Before the Assessment: The Clinician’s Responsibilities to the Patient Valid informed consent requires the adequate disclosure of information to the patient.

The concept of DMC comes from the informed consent doctrine, a principle that is pervasive in modern medicine. Informed consent requires three elements: the adequate disclosure of information; voluntariness, such that the patient’s choice is made free of coercion or undue influence; and competence, meaning that the patient has sufficient DMC to use the information given to reach a decision [1]. The terms competence, capacity, and DMC are often used interchangeably, both legally and in clinical practice.

Ultimately, that role may involve fostering a competent patient’s autonomy when faced with a difficult decision. REFERENCES 1. Berg JS, Appelbaum PS, Parker LS, Lidz CW. Informed Consent: Legal Theory and Clinical Practice. New York: Oxford University Press, 2001. 2. DeFrances CJ. 2006 National Hospital Discharge Survey. National Health Statistics Reports. 2008(5):1–20. 3. Cohen LM, McCue JD, Green GM. Do clinical and formal assessments of the capacity of patients in the intensive care unit to make decisions agree?

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