Disclaimer

These recommendations published by The American Geriatrics Society (AGS) incorporate data obtained from a literature review of the most recent studies available at the time. As with all clinical reference resources, they reflect the best understanding of the science of medicine at the time of publication, but they should be used with the clear understanding that continued research may result in new knowledge and recommendations. These Recommendations are intended for general information only, are not medical advice, and do not replace professional medical care and physician advice, which always should be?sought?for any specific condition.

DESCRIPTION

This updated position statement from the American Geriatrics Society addresses the growing challenge of making medical decisions for older adults who lack decision-making capacity and do not have an available surrogate. The authors recommend replacing the term ?unbefriended? with ?unrepresented,? advocate for more consistent legal standards across states, and support allowing appropriate nontraditional surrogates to serve as decision-makers when possible. The statement also emphasizes the importance of identifying individuals at risk of becoming unrepresented before a crisis occurs and developing fair, standardized, and unbiased processes for making healthcare decisions on their behalf. Given the aging population and increasing prevalence of unrepresented older adults, the paper provides policy recommendations and clinical guidance for healthcare systems, hospitals, and policymakers.