Surrogate Decisionmaking and Individual Rights - Texas Legal 2025

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The Surrogate Decision-making Program (SDMP) is a legislatively mandated process authorizing actively involved family members known as Surrogate Decision Makers (SDMs) and Surrogate Consent Committees (SCCs) comprised of trained volunteers to provide written informed consent for individuals residing in community-based
Surrogate Decision Maker If the wishes of the patient are unknown or unclear, then the surrogate must make decisions based on the patients best interest. In determining the patients wishes, the surrogate should consider: the current diagnosis and prognosis with and without treatment.
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.
Provides that if an individual is incompetent or unable to communicate his or her own medical decisions and no guardian or representative with Medical Power of Attorney has been appointed, then medical decisions may be made by the attending physician with the cooperation of one of the following people: the patients
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