An older woman is brain dead, and the attorney-in-fact or surrogate named in her DPA is opposed to organ donation; the law in the state allows a surrogate with a DPA to make end-of-life decisions
Although she failed to document it, her family states that she wanted to donate her organs. Given the law about a DPA, what does the nurse expect the surrogate to do? a. Deny consent. c. Refuse to decide.
b. Provide consent. d. Get a second opi-nion.
B
A DPA acts at the pleasure of the designator, can manage the designator's finances, and func-tions as the designator's health care surrogate, making judgments for the designator using subs-tituted judgment when the designator is unable to do so. Therefore, in accordance with the law and the woman's wishes according to her family, the surrogate should provide consent for organ harvesting. It is against the law and unethical for the DPA for this older adult to deny consent for organ harvesting. Because the attorney-in-fact named in the DPA is her health care surrogate, the attorney-in-fact must make a decision on behalf of the woman and cannot refuse to do so. The attorney-in-fact can get another opinion on the older adult's neurological status but not as a way to avoid the decision concerning organ harvesting.
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