• Vol. 47 No. 10, 431–434
  • 15 October 2018

Patient-Surrogate Agreement in Advance Care Planning: Who Are the Surrogates and Are They Making the Right Decisions?

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Surrogate decision-making based on “substituted judgment” is the concept where surrogates choose the treatment the patient would most want to receive when the patient becomes incompetent.1 The surrogate decision-making process assumes that the surrogate understands the patient’s values and beliefs and uses them to derive the patient’s end-of-life care preferences.

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