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Te Pū rauemi KOWHEORI-19 COVID-19 resource hub

Support for people working in health during the COVID-19 pandemic. Find information about how you can support yourselves and others, including consumers, teams and colleagues which complements and aligns with Ministry of Health resources.

Kia āta kōwhiri Choosing Wisely

The Choosing Wisely campaign seeks to reduce harm from unnecessary and low-value tests and treatment.

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Steps in the treatment decision-making process:

  1. Use what we know about the person and their preferences to determine treatment to be offered.
  2. Seek consent directly from the patient/resident.
  3. If the person is unable to give consent, check the shared goals of care form and/or the advance care plan for any relevant advance directive.
  4. If there is no valid advance directive, determine if there is someone else who can consent (Enduring Power of Attorney or legal guardian).
  5. If there is no valid advance directive and no one else who can give consent, the treating clinician must make the decision they believe the patient would have made.

For more information about the legal framework for clinical decision-making and consent, please see the ACP online learning modules (module 3 – Changing the outcomes of future health care).

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Published: 20 Oct 2021 Modified: 2 Dec 2021