This is an odd situation, but that is what our day is filled with.
A 63 year old male was admitted to a locked psychiatric unit with severe mental health problems. He had delirium and psychotic thinking.
Previously, he had selected his younger brother to be his substitute decision maker for decisions relating to care.
Unfortunately, the younger brother had a strong dislike for doctors, medications and hospitals. He was very assertive with the team at the hospital. He declined treatment that would likely have been effective.
Here’s the rub. When you select a substitute decision maker you don’t know if they will do a good job, if they are competent or have capacity, or if they have strong biases that blind their decision making.
So, a Calgary insurance advisor, did a very smart thing. He put Rupert Case Management in his advanced directives and his will. Our job will be to assist his substitute decision maker if complex decisions have to be made about his future care.
That’s a good idea that makes sense in light of the case study above.