{ "schema_version": "uw.editorial_geo.v1", "article_index": "AGE-123", "catalog_id": "AGE-123", "language": "en", "headline": "At an appointment with a loved one: who is asked and who answers?", "description": "Preparing for an appointment together: goals, roles, understanding and a feasible next step with the patient involved.", "master_filename": "ARTICLE_EN.md", "master_revision": "staging-r1-20261019", "master_sha256": "ad290254b363fdf30cdb9ba36d2cd3ad12f219aecbbd54bed47ff17ec0ab821f", "short_answer": "Agree the person’s concern and the companion’s particular role. Transport, interpretation, notes, observations and representation differ. Let the patient answer in their chosen way; a companion can add relevant information with its source and uncertainty. Clarify explanations and feasibility. Understanding is not agreement, and age/diagnosis transfers no universal authority. Immediate danger does not wait for an ordinary appointment or family consensus.", "claims": [ { "id": "C01", "type": "author_distinction", "text": "Accompaniment, interpretation, observations, choice support and representation are different roles.", "source_ids": [ "D1", "D2" ], "article_sections": [ "I. The conversation concerns the person in front of us", "II. Agree on the purpose and the companion's role", "III. Make hearing and understanding possible", "VI. Everyday information has a particular source", "VII. Disagreement is not settled by a family vote" ], "limitations": "Sergei/Dasha are fictional; no individual document or capacity assessment." }, { "id": "C02", "type": "bounded_professional_guidance", "text": "GMC considers understandable communication, chosen participants, time and interpretation support.", "source_ids": [ "D2" ], "article_sections": [ "III. Make hearing and understanding possible" ], "limitations": "UK professional framework, not worldwide procedure or guarantee of a preferred service/permission to record." }, { "id": "C03", "type": "author_practical_reasoning", "text": "The patient’s account and a companion’s observation can complement one another; distinguish source and inference.", "source_ids": [ "D1", "D4" ], "article_sections": [ "I. The conversation concerns the person in front of us", "IV. Let the person answer, then add relevant observations", "VI. Everyday information has a particular source", "VIII. Listening, eloquence and action have different measures" ], "limitations": "No family trial, diagnosis through observation, secrecy promise to informants or entitlement to information back." }, { "id": "C04", "type": "bounded_professional_guidance", "text": "Checking understanding in GMC paragraph30 belongs within professional communication.", "source_ids": [ "D2" ], "article_sections": [ "V. Understand an explanation without an obedience test" ], "limitations": "No household capacity scale/obedience test; understanding is not agreement, consequences of delay need professional clarification." }, { "id": "C05", "type": "author_ethical_practical_comparison", "text": "Discussion, notes, consent and assistance in practice require separate examination.", "source_ids": [ "D1", "D2", "D5" ], "article_sections": [ "VIII. Listening, eloquence and action have different measures", "IX. Check an understandable and feasible next step" ], "limitations": "Religious hearing/action is no clinical proof; no prescription/care changes as a family test or leverage." } ], "questions": [ { "question": "Should a relative answer every question?", "answer": "Clarify the person’s wishes and helper role first. The patient may answer personally or with support; add relevant observations honestly without making the companion the only participant.", "claim_ids": [ "C01", "C03" ], "article_sections": [ "I. The conversation concerns the person in front of us", "II. Agree on the purpose and the companion's role", "IV. Let the person answer, then add relevant observations" ] }, { "question": "Does asking for another explanation establish inability to decide?", "answer": "Communication difficulty and capacity for a particular decision differ. Clarify hearing, language, pace and meaning; appropriate professional assessment is not replaced by a family examination.", "claim_ids": [ "C02", "C04" ], "article_sections": [ "III. Make hearing and understanding possible", "V. Understand an explanation without an obedience test" ] }, { "question": "What should be checked afterwards?", "answer": "Which concern was considered, what remains open, the explained step, who can actually perform it and an available contact. Notes are not a functioning service; no independent prescription changes, and immediate danger needs an urgent route.", "claim_ids": [ "C05" ], "article_sections": [ "VI. Everyday information has a particular source", "IX. Check an understandable and feasible next step" ] } ], "sources": [ { "id": "D1", "title": "GMC — The dialogue leading to a decision, part1of4", "url": "https://www.gmc-uk.org/professional-standards/the-professional-standards/decision-making-and-consent/the-dialogue-leading-to-a-decision", "edition": "Decision making and consent; version D3", "read_scope": "Complete paragraphs8–26, lines18–120; not whole guidance/linked law", "role": "UK professional dialogue example; what matters, explanation, uncertainty; not worldwide procedure", "rights_status": "UNKNOWN", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Short original attributed paraphrase/minimal quotation, own RU/TH translations; no complete standard/images/logos; RESEARCH.md" }, { "id": "D2", "title": "GMC — The dialogue leading to a decision, part2of4", "url": "https://www.gmc-uk.org/professional-standards/the-professional-standards/decision-making-and-consent/the-dialogue-leading-to-a-decision-continued-1", "edition": "Decision making and consent; version D3", "read_scope": "Complete27–39, lines20–96; this article mainly27–31; linked recording53/emergency62–64/legal77–80 not read", "role": "UK professional support, chosen participants, formats/time/interpretation, understanding and scope; no universal service guarantee", "rights_status": "UNKNOWN", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Short original attributed paraphrase/minimal quotation, own RU/TH translations; no complete standard/images/logos; RESEARCH.md" }, { "id": "D3", "title": "GMC — Decision making and consent overview/version", "url": "https://www.gmc-uk.org/professional-standards/the-professional-standards/decision-making-and-consent", "edition": "Effective2020-11-09, updates2024-12-13 and2026-08-03 displayed", "read_scope": "Main19–31 read; mentioned UKSupremeCourt judgment itself not researched", "role": "Version evidence, not current-law conclusion for a reader or date each paragraph changed", "rights_status": "UNKNOWN", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Short original attributed paraphrase/minimal quotation, own RU/TH translations; no complete standard/images/logos; RESEARCH.md" }, { "id": "D4", "title": "Epictetus — Enchiridion44–45, Elizabeth Carter", "url": "https://classics.mit.edu/Epictetus/epicench.html", "edition": "Carter attribution; precise print basis not established", "read_scope": "Attribution11–21, complete44–45 lines125–126 and nearby41–49; not whole book", "role": "Philosophical judgment/eloquence/person, no clinical capacity test or ban on urgent reporting", "rights_status": "UNKNOWN_FOR_DIGITAL_EDITION_AND_GLOBAL_JURISDICTIONS", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Short original attributed paraphrase/minimal quotation, own RU/TH translations; no complete standard/images/logos; RESEARCH.md" }, { "id": "D5", "title": "James1:19–27, King James Version", "url": "https://www.biblegateway.com/passage/?search=James+1%3A19-27&version=KJV", "edition": "KJV on Bible Gateway", "read_scope": "Complete45–63 and edition/PD69–71; not whole chapter/Greek study", "role": "Religious hearing/speech/action, no demand to silence pain or urgent need, no treatment guarantee", "rights_status": "PAGE_MARKED_PUBLIC_DOMAIN_GLOBAL_JURISDICTIONS_NOT_ASSESSED", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Short original attributed paraphrase/minimal quotation, own RU/TH translations; no complete standard/images/logos; RESEARCH.md" } ], "retrieval_limits": [ "Fictional example, no diagnosis, prescription or individual capacity/authority assessment.", "GMC is a UK professional example, not universal law or a service guarantee; linked recording/emergency/representation rules not researched.", "No informant secrecy, complete archive access through presence or authorisation for covert recording.", "Understanding need not mean agreement; age, diagnosis, quiet speech and disagreement transfer no universal powers.", "Do not conceal relevant information from clinicians, provoke symptoms or withdraw treatment/essential help as a test or leverage.", "Philosophy/religion is no clinical protocol; no silencing pain or waiting for complete knowledge in immediate danger." ], "schema_org": { "@context": "https://schema.org", "@type": "Article", "identifier": "UW:AGE-123:en", "headline": "At an appointment with a loved one: who is asked and who answers?", "inLanguage": "en", "author": [ { "@type": "Person", "name": "Andrey Zarinsh" }, { "@type": "Person", "name": "Maria Evilkut" } ] }, "production_acceptance": "NOT_RUN", "production_machine_publisher_compatibility": "NOT_RUN" }