In which of the following situations would a healthcare surrogate or proxy assume the end-of-life decision-making role for a patient?
a. When a dying patient requires extensive heavy sedation, such as benzodiazepines and narcotics, to control distressing symptoms
b. When a dying patient who is competent requests to withdraw treatment against the wishes of the family
c. When a dying patient who is competent requests to continue treatment against the recommendations of the healthcare team
d. When a dying patient who is competent is receiving prn treatment for pain and anxiety
A
A patient who requires heavy sedation, such as IV infusions of pain medications or anxiolytic medications, would not be competent to make healthcare decisions. A healthcare proxy or surrogate would be required in this situation. A patient who is deemed competent by the medical team may be responsible for healthcare decisions even if these are not consistent with family beliefs. A surrogate would not assume decision-making responsibilities in this situation. A healthcare team member who cannot support decisions would be responsible for finding an alternative care provider who could support the patient's wishes.
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How many capsules will you administer to this child? What is the answer?
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