Get Ny Sdmc Form 220-a 2020-2024

SDMC uses volunteers to review declarations regarding a person's capacity and need for treatment and then renders a decision at a quasi-judicial hearing. These volunteers serve on panels throughout New York State. Every panel must have a New York State licensed attorney as one of its members.

For you to step in as a surrogate decision-maker a health care provider must certify that the person you are a surrogate for is incapable of making informed decisions about their care. When making a decision, you must base it on their wishes, not your own.

The care of adult patients without decision-making abilities is a routine part of medical practice. Decisions for these patients are typically made by surrogates ing to a process governed by a hierarchy of 3 distinct decision-making standards: patients' known wishes, substituted judgments, and best interests.

Beauchamp and Childress (1979) identified four principles that are at the core of ethical reasoning in health care: autonomy, justice, beneficence, and nonmaleficence. Kitchener (1984) added a fifth principle— fidelity. She viewed these five principles as the cornerstone of ethical guidelines for counselors.

Adjusted overall accuracy of surrogates, based on meta-analysis, is 68% (95% credible interval, 63-72).

If the patient has a health care proxy, the health care agent named in the proxy makes decisions. If a patient does not have a health care proxy, a legal guardian (or the person highest in priority from the surrogate list, known as “the surrogate”) makes decisions.

In most cases, parents are appropriate surrogate decision makers for their children and should give primacy to the best interests of their child.

Adults. In most states, the default surrogate decision maker for adults is normally the next of kin, specified in a priority order by state statute, typically starting with the person's spouse or domestic partner, then an adult child, a parent, a sibling, and then possibly other relatives.