Literature DB >> 2599422

Decision-making ability and advance directive preferences in nursing home patients and proxies.

E L Diamond, J A Jernigan, R A Moseley, V Messina, R A McKeown.   

Abstract

We studied 39 nursing home patients and proxies to assess their decision-making capability and preferences regarding advance directives (ADs) or "living wills." Most patients willingly stated preferences; over half opted to forego burdensome measures when death appeared imminent. Patients perceived as decisionally capable were more likely to forego life-sustaining measures than those of questionable capability. The vast majority of proxies disapproved of using life-sustaining measures, even in some cases with limited knowledge of patients' preferences.

Entities:  

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

Mesh：

Year:  1989        PMID： 2599422     DOI： 10.1093/geront/29.5.622

Source DB:  PubMed          Journal:  Gerontologist        ISSN： 0016-9013


  9 in total

1.  Contesting death, speaking of dying.

Authors:  Judy Z Segal
Journal:  J Med Humanit       Date:  2000

2.  Advance care planning in nursing homes: correlates of capacity and possession of advance directives.

Authors:  Rebecca S Allen; Shermetra R DeLaine; William F Chaplin; Daniel C Marson; Michelle S Bourgeois; Katinka Dijkstra; Louis D Burgio
Journal:  Gerontologist       Date:  2003-06

3.  Contributions of empirical research to medical ethics.

Authors:  R A Pearlman; S H Miles; R M Arnold
Journal:  Theor Med       Date:  1993-09

Review 4.  Criteria for patient decision making (in)competence: a review of and commentary on some empirical approaches.

Authors:  S P Welie
Journal:  Med Health Care Philos       Date:  2001

5.  The life-sustaining treatments among cancer patients at end of life and the caregiver's experience and perspectives.

Authors:  Young Ho Yun; Myung Kyung Lee; Yoon Jung Chang; Chang Hoon You; Samyong Kim; Jong Soo Choi; Ho-Yeong Lim; Chang Geol Lee; Youn Seon Choi; Young Seon Hong; Si-Young Kim; Dae Seog Heo; Hyun Sik Jeong
Journal:  Support Care Cancer       Date:  2009-04-28       Impact factor: 3.603

6.  Durable power of attorney for health care. Are we ready for it?

Authors:  M K Goldstein; R P Vallone; D C Pascoe; C H Winograd
Journal:  West J Med       Date:  1991-09

Review 7.  The role of proxies in treatment decisions: evaluating functional capacity to consent to end-of-life treatments within a family context.

Authors:  Rebecca S Allen; John L Shuster
Journal:  Behav Sci Law       Date:  2002

8.  Elders' preferences for life-prolonging treatment and their proxies' substituted judgment: influence of the elders' current health.

Authors:  Laraine Winter; Susan M Parks
Journal:  J Aging Health       Date:  2012-08-06

9.  Family matters: dyadic agreement in end-of-life medical decision making.

Authors:  Bettina Schmid; Rebecca S Allen; Philip P Haley; Jamie Decoster
Journal:  Gerontologist       Date:  2009-12-27
  9 in total

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