Many patients in the ICU need life support or life-sustaining treatment. These treatments help or replace the work of one or more organs. For example, a machine may help a patient breathe, or a tube in their stomach may provide food.
We ask all patients about their wishes for life support and life-sustaining treatment. This helps us know what kinds of treatments they would want if they became too sick to tell us.
If your loved one has written down their wishes in a Power of Attorney or a Living Will, please bring a copy. These documents tell us what treatments they would want and who can make decisions for them. We review them and add them to the care chart so the entire care team can follow them.
Sometimes patients cannot speak for themselves and do not have these documents. In these cases, a substitute decision maker is chosen to speak for the patient. This person shares the patient’s goals, wishes, and beliefs with the care team.
The Healthcare Consent Act guides how a substitute decision maker is chosen. It follows this order:
- Power of Attorney
- spouse (married or common-law)
- parent or child
- siblings
- other relatives
A substitute decision maker must be willing, available, and able to take on this role. If the first person cannot do it, we move to the next person on the list. If there is no Power of Attorney or suitable family member, a guardian can be appointed by the court.