Literature DB >> 11654862

The Patient Self-Determination Act and advance directives: snapshots of activities in a tertiary health care center.

John D Engel, Gregory Kane, Deborah L Jones, Debra Lynn-McHale, Martha Swartz, Paul Durbin, Don Klingen.   

Abstract

This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs.

Entities:  

Keywords:  Death and Euthanasia; Empirical Approach; Professional Patient Relationship

Mesh:

Year:  1997        PMID: 11654862     DOI: 10.1023/a:1025689719127

Source DB:  PubMed          Journal:  J Med Humanit        ISSN: 1041-3545


  10 in total

1.  Sources of concern about the Patient Self-Determination Act.

Authors:  S M Wolf; P Boyle; D Callahan; J J Fins; B Jennings; J L Nelson; J A Barondess; D W Brock; R Dresser; L Emanuel
Journal:  N Engl J Med       Date:  1991-12-05       Impact factor: 91.245

2.  Who decides who decides? When disagreement occurs between the physician and the patient's appointed proxy about the patient's decision-making capacity.

Authors:  L J Schneiderman; H Teetzel
Journal:  Arch Intern Med       Date:  1995-04-24

3.  Advance care planning. Priorities for ethical and empirical research.

Authors:  J M Teno; T P Hill; M A O'Connor
Journal:  Hastings Cent Rep       Date:  1994 Nov-Dec       Impact factor: 2.683

4.  Advance directives: can patients' stated treatment choices be used to infer unstated choices?

Authors:  L L Emanuel; M J Barry; E J Emanuel; J D Stoeckle
Journal:  Med Care       Date:  1994-02       Impact factor: 2.983

5.  After the Patient Self-determination Act. The need for empirical research on formal advance directives.

Authors:  J Lynn; J M Teno
Journal:  Hastings Cent Rep       Date:  1993 Jan-Feb       Impact factor: 2.683

6.  Factors associated with do-not-resuscitate orders: patients' preferences, prognoses, and physicians' judgments. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment.

Authors:  R B Hakim; J M Teno; F E Harrell; W A Knaus; N Wenger; R S Phillips; P Layde; R Califf; A F Connors; J Lynn
Journal:  Ann Intern Med       Date:  1996-08-15       Impact factor: 25.391

7.  A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). The SUPPORT Principal Investigators.

Authors: 
Journal:  JAMA       Date:  1995 Nov 22-29       Impact factor: 56.272

Review 8.  Cost savings at the end of life. What do the data show?

Authors:  E J Emanuel
Journal:  JAMA       Date:  1996-06-26       Impact factor: 56.272

9.  The Patient Self-Determination Act and the future of advance directives.

Authors:  P J Greco; K A Schulman; R Lavizzo-Mourey; J Hansen-Flaschen
Journal:  Ann Intern Med       Date:  1991-10-15       Impact factor: 25.391

10.  Advance directives. Stability of patients' treatment choices.

Authors:  L L Emanuel; E J Emanuel; J D Stoeckle; L R Hummel; M J Barry
Journal:  Arch Intern Med       Date:  1994-01-24
  10 in total
  1 in total

1.  Advance directives as part of a residency-based educational initiative: doing what's right or doing what one is told.

Authors:  P B Railey; B H Childs
Journal:  HEC Forum       Date:  1999-06
  1 in total

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