Is the Patient Self-Determination Act Appropriate for Elderly Persons Hospitalized for Depression?
Lee, Melinda A.
Heintz, Ronald T.
Bloom, Joseph D.
Journal of Clinical Ethics. 1993 Spring; 4(1): 46-50.
The goal of the PSDA is to foster communication between patients and physicians about patients' preferences for life-sustaining therapies. Compliance with the PSDA is a condition for reimbursement by Medicaid and Medicare. General hospital psychiatry units are covered by the PSDA, yet compliance may pose both ethical and clinical problems for psychiatrists working in this setting. Is the PSDA appropriate for newly admitted psychiatric patients? We have narrowed the focus of this article to elderly patients admitted to the hospital for treatment of depression. We have chosen to focus on depressed elderly patients because the elderly are, in large measure, the main target of the PSDA. In addition, elderly persons with depressive disorders constitute a substantial and increasing proportion of new admissions to general hospital psychiatry units.
Advance Directives; Aged; Allowing to Die; Autonomy; Communication; Competence; Consent; Decision Making; Depressive Disorder; Evaluation; Elderly Persons; Family Members; Government; Government Regulation; Hospitals; Informed Consent; Institutionalized Persons; Legal Rights; Legislation; Life; Mental Institutions; Patient Care; Patients; Physicians; Psychiatry; Psychological Stress; Regulation; Right to Die; Rights; Third Party Consent; Treatment Refusal; Withholding Treatment;
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The Effect of Depression Treatment on Elderly Patients' Preferences for Life-Sustaining Medical Therapy Ganzini, Linda; Lee, Melinda A.; Heintz, Ronald T.; Bloom, Joseph D.; Fenn, Darien S. (1994-11)