• Elderly in Singapore

    Medical guardian's role in decision making

    When we say medical guardian, they not only help us in being healthy but also ensure that we are comfortable and safe in all modes. Guardian is the broadly authorized person responsible for crippled or aged adults. They take care of the adult’s health and are authorized to take a decision when it is necessary.

    We all know that Singapore is the land for culture and respect. The Elderly in Singapore is considered precious and are taken care of like a treasure by our guardians. 

    At times when there is a situation that the guardian has to decide on the owner’s property, then it will not make sense to the rules for ageing services Singapore are strictly followed as per norms. The fiduciary duty is to be completed by the guardian in a part of their duty. 

    When there are legal proceedings followed the words of the medical guardian is considered on the supportive side. In certain cases when there is none for the crippled the court adjourned to find a solution for the long term.

    The following three situations when a medical caretaker is allowed to make a decision.

    1.    An adult suffering from an incurable or irreversible condition that resulted in an adult’s death in a relatively short period of time;

    2.    The adult is unconscious and, to a maximum degree of medical certainty, and  when they don’t regain consciousness; or

    3.    The adult suffering from advanced dementia or other condition that results in the cognitive loss in their ability along with a high degree of medical certainty, that is not reversible.

    The decision making may differ in different situations like when there is an emergency and the doctor is in on the way. Now the situation must come under control thus the guardian is given full authority to take complete medical protection. The decision can be any starting from oxygen ventilator support. CPR and antibiotics preference and prescription.

    When the situation is out of control the decision maker or the medical guardian must turn to the medical team and initiate the conversation. Develop a healthy conversation with the patient who is at the end stages of life and to make their last stage of life easy and happy the decision maker must make the work more convenient and acceptable.

    When do we do CPR? It is the cardiopulmonary arrest or when the person is going unconscious without any speech then the decision maker must initiate a good conversation with the team to proceed with the next step to save life.

    The words are believed as a trustworthy one and the decision is made by the higher officials. If there are any mishappenings in the decision then the decision maker is liable for punishments.

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