January 14, 2020, Vol 323, No. 2, Pages 105-196
Treatment Decisions for a Future SelfEthical Obligations to Guide Truly Informed Choices
Claire J. Creutzfeldt, MD; Robert G. Holloway, MD, MPH
JAMA. 2020;323(2):115-116. doi:10.1001/jama.2019.19652
This Viewpoint discusses the reality that most decisions about treatment for incapacitated patients involve surrogate assessments of patients’ past values at their baseline health, and it proposes that more ethical and informed decision-making would help surrogates consider the degree to which their loved one might be able to adapt to and value a future health state at what is a higher level of disability.