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Can a physician appointed surrogate speak for the patient with regard to withholding artificial nutrition and hydration?

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Can a physician appointed surrogate speak for the patient with regard to withholding artificial nutrition and hydration?

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A physician-appointed surrogate may not make the decision to withhold artificial nutrition and hydration with only the surrogate decision. But, when the designated physician and a second independent physician certify in the patient’s current clinical records that the continuation of artificial nutrition or hydration is merely prolonging the act of dying, and the patient is highly unlikely to regain capacity to make medical decisions, then artificial nutrition and hydration can be withheld.

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