Difference between revisions of "Substitute Decision Making for Adult Guardianship (15:IV)"

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=== E. Admission to Care Facilities ===
=== E. Admission to Care Facilities ===
Part 3 of the ''Health Care (Consent) and Care Facility (Admissions) Act'' (HCCFA) describes consent requirements for admission of adults into care facilities. If an adult is incapable of providing consent for admission into a care facility, a manager of the facility may admit an adult to the facility if consent is provided by a committee of person.  For more information on committees, please refer to '''Section V: ADULT GUARDIANSHIP''' in this chapter.
Part 3 of the ''Health Care (Consent) and Care Facility (Admissions) Act'' (HCCFA) describes consent requirements for admission of adults into care facilities. If an adult is incapable of providing consent for admission into a care facility, a manager of the facility may admit an adult to the facility if consent is provided by a committee of person.  For more information on committees, please refer to Section [[Adult_Guardianship_(15:V)|V: ADULT GUARDIANSHIP]] in this chapter.


If an adult does not have a committee of person, a substitute will be chosen from the following list, in this order, to give or refuse consent:  
If an adult does not have a committee of person, a substitute will be chosen from the following list, in this order, to give or refuse consent:  


The adult’s representative, if they have authority to give consent to admission <br>
* The adult’s representative, if they have authority to give consent to admission
 
* The adult’s spouse
The adult’s spouse<br>
* The adult’s child
 
* The adult’s parent
The adult’s child<br>
* The adult’s sibling
 
* The adult’s grandparent
The adult’s parent<br>
* Anybody related by birth
 
* A close friend
The adult’s sibling<br>
* A person immediately related to the family by marriage
 
The adult’s grandparent<br>
 
Anybody related by birth<br>
 
A close friend<br>
 
A person immediately related to the family by marriage


If no person meets these requirements, or if there is a dispute over who is chosen, the manager of the facility must notify the PGT. The PGT can authorize a person to give or refuse consent, including one of their staff.  
If no person meets these requirements, or if there is a dispute over who is chosen, the manager of the facility must notify the PGT. The PGT can authorize a person to give or refuse consent, including one of their staff.  
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In providing consent, the substitute decision maker must consider:  
In providing consent, the substitute decision maker must consider:  


The adult’s current wishes<br>
* The adult’s current wishes<br>
 
* The adult’s previously expressed wishes and known beliefs and value<br>
The adult’s previously expressed wishes and known beliefs and value<br>
* Whether the adult would benefit from admission<br>
 
* What other options may be available and appropriate or less restrictive to support the adult’s care
Whether the adult would benefit from admission<br>
 
What other options may be available and appropriate or less restrictive to support the adult’s care


=== F. Limits on Substitute Decision-Makers ===
=== F. Limits on Substitute Decision-Makers ===