Advance care planning: Beyond the living will

被引:35
作者
Messinger-Rapport, Barbara J. [1 ,2 ]
Baum, Elizabeth E. [3 ]
Smith, Martin L. [4 ]
机构
[1] Cleveland Clin, Geriatr Med Sect, Cleveland, OH 44195 USA
[2] Cleveland Clin, Geriatr Med Fellowship Program, Cleveland, OH 44195 USA
[3] Dept Geriatr Med, Akron, OH USA
[4] Cleveland Clin, Dept Biostat, Cleveland, OH 44195 USA
关键词
LIFE-SUSTAINING TREATMENT; OLDER PERSONS; PATIENT PREFERENCES; ELDERLY PATIENTS; PHYSICIANS; DIRECTIVES; DEMENTIA; SURVIVAL; DEATH; RATES;
D O I
10.3949/ccjm.76a.07002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
For a variety of reasons, the most commonly used advance directive documents (eg, the living will) may not be very useful in many situations that older adults encounter. The durable power of attorney for health care is a more versatile document. We advocate focusing less on "signing away" certain interventions and more on clarifying the goals of care in the ambulatory setting.
引用
收藏
页码:276 / 285
页数:14
相关论文
共 47 条
[1]   Incidence and prevalence of the vegetative and minimally conscious states [J].
Beaumont, JG ;
Kenealy, PM .
NEUROPSYCHOLOGICAL REHABILITATION, 2005, 15 (3-4) :184-189
[2]   Long-term survival after successful inhospital cardiac arrest resuscitation [J].
Bloom, Heather L. ;
Shukrullah, Irfan ;
Cuellar, Jose R. ;
Lloyd, Michael S. ;
Dudley, Samuel C., Jr. ;
Zafari, A. Maziar .
AMERICAN HEART JOURNAL, 2007, 153 (05) :831-836
[3]  
CANTOR MD, 2004, J AM MED DIR ASS S2, V5, pC72
[4]   Dementia, prognosis, and the needs of patients and caregivers [J].
Covinsky, KE ;
Yaffe, K .
ANNALS OF INTERNAL MEDICINE, 2004, 140 (07) :573-574
[5]  
*CTR ETH HLTH CAR, PHYS ORD LIF SUST TR
[6]   Context changes choices: A prospective study of the effects of hospitalization on life-sustaining treatment preferences [J].
Ditto, Peter H. ;
Jacobson, Jill A. ;
Smucker, William D. ;
Danks, Joseph H. ;
Fagerlin, Angela .
MEDICAL DECISION MAKING, 2006, 26 (04) :313-322
[7]  
Diwan Sadhna, 2004, J Palliat Med, V7, P797, DOI 10.1089/jpm.2004.7.797
[8]   A method to communicate patient preferences about medically indicated life-sustaining treatment in the out-of-hospital setting [J].
Dunn, PM ;
Schmidt, TA ;
Carley, MM ;
Donius, M ;
Weinstein, MA ;
Dull, VT .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1996, 44 (07) :785-791
[9]   ADVANCE CARE PLANNING AS A PROCESS - STRUCTURING THE DISCUSSIONS IN PRACTICE [J].
EMANUEL, LL ;
DANIS, M ;
PEARLMAN, RA ;
SINGER, PA .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1995, 43 (04) :440-446
[10]   Attempting resuscitation in nursing homes: Policy considerations [J].
Finucane, TE ;
Harper, GM .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1999, 47 (10) :1261-1264