Making critical health care decisions for older adults: Consensus among family members

被引:24
作者
Roberto, KA [1 ]
机构
[1] Virginia Polytech Inst & State Univ, Ctr Gerontol, Blacksburg, VA 24061 USA
关键词
family decision making; health care; life sustaining treatments; old-old;
D O I
10.2307/585080
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
Sixty-two older adults and their family members responded to 45 hypothetical health care scenarios. At least 70% of the dyads reached agreement for half of the scenarios. Health status and level of treatment influenced their responses. Family members used multiple approaches for resolving different views on a particular procedure or treatment for their older relatives. The results support the normative-affect model of decision making that postulates that people make decisions based on emotionally-laden values and commitments.
引用
收藏
页码:167 / 175
页数:9
相关论文
共 32 条
[1]  
Bogdan R.C., 1998, QUALITATIVE RES ED, V3rd
[2]   ADVANCE DIRECTIVES ON HOSPITAL ADMISSION - A SURVEY OF PATIENT ATTITUDES [J].
BROADWELL, AW ;
BOISAUBIN, EV ;
DUNN, JK ;
ENGELHARDT, HT .
SOUTHERN MEDICAL JOURNAL, 1993, 86 (02) :165-168
[3]  
Cicirelli V. G., 1992, FAMILY CAREGIVING AU
[4]   THE DECISION TO EXECUTE A DURABLE POWER OF ATTORNEY FOR HEALTH-CARE AND PREFERENCES REGARDING THE UTILIZATION OF LIFE-SUSTAINING TREATMENTS IN NURSING-HOME RESIDENTS [J].
COHENMANSFIELD, J ;
RABINOVICH, BA ;
LIPSON, S ;
FEIN, A ;
GERBER, B ;
WEISMAN, S ;
PAWLSON, LG .
ARCHIVES OF INTERNAL MEDICINE, 1991, 151 (02) :289-294
[5]  
Damato A N, 1993, N J Med, V90, P215
[6]  
DOUKAS DJ, 1991, J FAM PRACTICE, V32, P145
[7]   HOW WELL IS THE PATIENT SELF-DETERMINATION ACT WORKING - AN EARLY ASSESSMENT [J].
EMANUEL, EJ ;
WEINBERG, DS ;
GONIN, R ;
HUMMEL, LR ;
EMANUEL, LL .
AMERICAN JOURNAL OF MEDICINE, 1993, 95 (06) :619-628
[8]   NORMATIVE-AFFECTIVE FACTORS - TOWARD A NEW DECISION-MAKING MODEL [J].
ETZIONI, A .
JOURNAL OF ECONOMIC PSYCHOLOGY, 1988, 9 (02) :125-150
[9]  
Gibson Joan McIver, 1990, Generations, V14, P51
[10]  
HARE J, 1993, HEALTH VALUES, V17, P18