Who gets to decide for the older patient with a limited decision-making capacity: a review of surrogacy laws in the European Union

Family members of older incompetent patients are increasingly playing an essential role in the decision-making process relating to medical treatment. Furthermore, rights of patients and carers and the extent of their legal involvement vary widely across the European Union. Starting with an illustrat...

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Veröffentlicht in:European geriatric medicine 2018-12, Vol.9 (6), p.759-769
Hauptverfasser: Tibullo, Loredana, Esquinas, Antonio M., Vargas, Maria, Fabbo, Andrea, Micillo, Filomena, Parisi, Anna, Vargas, Nicola
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container_issue 6
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container_title European geriatric medicine
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creator Tibullo, Loredana
Esquinas, Antonio M.
Vargas, Maria
Fabbo, Andrea
Micillo, Filomena
Parisi, Anna
Vargas, Nicola
description Family members of older incompetent patients are increasingly playing an essential role in the decision-making process relating to medical treatment. Furthermore, rights of patients and carers and the extent of their legal involvement vary widely across the European Union. Starting with an illustrative case within the Italian legal framework, this review focuses on statutory laws in the European Union to analyse the role and the rights of surrogates on behalf of older incompetent patients. The authors have identified two main essential areas of surrogate’s law in Europe, in the absence of the advance directives: the role of family members automatically accepted as surrogates by law and a legal representative appointed by a court.
doi_str_mv 10.1007/s41999-018-0121-8
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subjects Geriatrics/Gerontology
Internal Medicine
Medicine
Medicine & Public Health
Review
title Who gets to decide for the older patient with a limited decision-making capacity: a review of surrogacy laws in the European Union
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