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Question

In Missouri, who can sign for a patient entering into a research study who has dimenished capacity (eg. Alzheimer's) if there has not been established a power of attorney? Closet relative? Son? Daughter? Caregiver is not related?

Submitted: 130 days and 5 hours ago.
Category: Legal
Value: $38
Status: CLOSED
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State/Country relating to Question: Missouri

Already Tried:
Researched the internet; I have found answers for other states, but not sure if there are laws in Missouri governing this.

Posted by SmallTownLawyer 130 days and 5 hours ago.

Answer

Hello -

Thank you for contacting JustAnswer.

Under a Missouri law adopted in 1989, it is possible to have a general power of attorney over someone's matters, but there were some exceptions.

Exceptions: Certain powers must be stated in a written health care power of attorney in order for the attorney-in-fact to be authorized to perform such acts. One of these exceptions is: to give consent for any type of medical treatment or health care.

From my cursory research of Missouri law, it looks like the only person authorized to make medical decisions would be one who had been granted a specific power of attorney for that purpose.

If my answer was helpful, please click ACCEPT so i may be compensated for my time. If you are not satisfied with the Answer, please feel free not to Accept, and post a follow up question so I may be able to clarify my Answer. My goal is to provide an outstanding Answer, so give me a chance.

Regards,

Michael

130 days and 5 hours ago.

Reply

How then can a phyisician care for a patient with dimenished capacity when brought in by a daughter or son etc. when there is no power of attorney in place? This is the question I need answered. Does the physician go by what the family member desires in this instance if that seems the proper avenue to take from the standpoint of the physician?

Accepted Answer

In my experience, if a physician wants to treat a patient that has diminished capacity and can not give consent on their own, they would need a signed Power of Attorney to protect themselvs legally and allow a family member to make decisions for the patient.

If the patient is unable to sign a Power of Attorney, they can file a petition to become appointed conservator of the person with diminished capacity. This person will be appointed as a conservator if it is found, per Missouri law, that the person "is one who is unable by reason of any physical or mental condition to receive and evaluate information or to communicate decisions to such an extent that he [or she] lacks capacity to meet essential requirements for food, clothing, shelter, safety or other care such that serious physical injury, illness, or disease is likely to occur".

Hope this helps,

If my answer was helpful, please click ACCEPT so i may be compensated for my time. If you are not satisfied with the Answer, please feel free not to Accept, and post a follow up question so I may be able to clarify my Answer. My goal is to provide an outstanding Answer, so give me a chance.

Regards,

Michael

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Expert: SmallTownLawyer
Pos. Feedback: 99.4 %
Accepts: 664
Answered: 11/10/2009

Attorney

Licensed Missisippi Attorney; Criminal Law, Family Law, Personal Injury, and Civil Defense

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