What are the different methods of surrogate decision-making near the end of life? Why is it important to know these and have them on file?
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The four different methods of surrogate decision – making are : surrogate characteristics and life circumstances ( such as coping strategies and competing responsibilities ) , surrogates ‘ social networks ( such as families trying to make the ” right ” decision ) , surrogate – patient relationships and communication ( such as difficulties with honoring known preferences ) , and surrogate – clinician communication and relationship ( such as the interaction with a single physician whom the surrogate recognizes as the clinical spokesperson vs. many clinicians ) . It is important to know the different methods and to have them on file because the reasoning behind the decision should be noted so there is a record for the patients to know why they received the surrogate .