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    Who gives consent for treatment when a person with stroke cannot?

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    Who agrees to treatment if a person with a stroke is unable to do so? The American Academy of Neurology (AAN) has published its views for neurologists on how to navigate the issue of consent in people who have experienced acute ischemic stroke. This statement appeared in the online version of January 10, 2022. Neurology, A medical journal of the American Academy of Neurology, developed by the Ethics, Law, and Humanities Commission, a joint committee of the AAN, American Academy of Neurology, and Pediatric Neurology. This position statement replaces the 1999 position paper of the American Society of Neurology and the 2011 policy statement on this topic.

    Stroke is the fifth leading cause of death in the United States, with nearly 800,000 strokes occurring each year. Surviving people over 65 stroke, More than half reduce mobility. Ischemic stroke is the most common type of stroke caused by the blockage of blood flow to the brain.

    “Stroke treatments that are effective in maintaining brain function are useful only when given promptly, sometimes within just a few hours, but if the person who has the stroke lacks the ability to make decisions, and Madison. Justin A. Suttin, author of the University of Wisconsin Position Statement at the University of Wisconsin, said: “This opinion provides ethical guidance on how neurologists navigate the decision-making process. increase. Stroke patient When time is important. “

    AAN’s view states that if stroke people disagree with treatment, pre-medical instructions may provide guidance on their wishes. However, such directives, such as living wills, are often overly specific or too vague to address terminal illness, but do not address debilitating symptoms such as stroke. Another form of advance directive that can be used is the power of attorney, which acts as a surrogate decision maker. Relatives may also be allowed to act as surrogate decision makers.

    The opinion explains that the surrogate decision maker may not be fully prepared to express the wishes of the stroke patient. The neurologist should prioritize the patient’s preferences if documented, and if not documented, belief-based to determine what the patient wants and guide the patient. .. It states that if you are uncertain about your beliefs, you need to make a decision based on the person’s best interests.

    If the stroke patient needs urgent treatment and there is no advance directive or proxy decision maker, the opinion states that treatment may be provided based on an ethical presumption of consent.

    “Because stroke is an emergency disease, by providing this ethical guidance, the American Society of Neurology allows neurologists to navigate treatment consent issues and provide the highest quality patient care as quickly as possible. “We aim to help save lives and improve patient outcomes,” said Orly Avitzur, MD, MBA, and FAAN, President of the American Society of Neurology.

    According to the opinion, if there is a generally accepted treatment such as a thrombus-destroying drug, the neurologist can proceed with consent as needed.

    When treatment requires further consideration of risks and benefits, such as endovascular treatment and procedures for removing blood clots, the position statement states: decision Whether to continue should be informed by how well the person’s case is consistent with what is recommended in current treatment guidelines.

    If there is a treatment that lacks evidence, the statement advises that neurologists need to work with medical institutions to develop it. process protocol.

    Finally, Position statement For stroke research, the law on agent consent varies from state to state, but the Federal Common Rule, a rule of ethics in research, allows legitimate agents to provide it. Consent..


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    Quote: Who agrees to treatment if a person with a stroke is unable to? (January 10, 2022) Obtained January 10, 2022 from https: //medicalxpress.com/news/2022-01-consent-treatment-person.html

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    Who gives consent for treatment when a person with stroke cannot? Source link Who gives consent for treatment when a person with stroke cannot?

    The post Who gives consent for treatment when a person with stroke cannot? appeared first on California News Times.

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