Advance End-of-Life Treatment Planning: A Research Review
Miles, Steven H.
Weber, Eileen P.
Archives of Internal Medicine. 1996 May 27; 156(10): 1062-1068.
The year 1996 marks the fifth anniversary of the federal Patient Self-Determination Act. The Patient Self-Determination Act required hospitals, nursing homes, and health plans to ask whether patients have advance directives and to incorporate them into the medical record. A "living will" is an advance directive by which a person tells caregivers the circumstances in which life-sustaining treatment is to be provided or forgone if the patient is unable to communicate. A "durable power of attorney for health care" enables one to designate a person to speak on his or her behalf if the author loses decision-making capacity. "Advance planning" is the process of reflection, discussion, and communication of treatment preferences for end-of-life care that precedes and may lead to an advance directive.
Adults; Advance Care Planning; Advance Directives; Aged; Attitudes; Caregivers; Communication; Comprehension; Counseling; Consent; Decision Making; Dementia; Durable Power of Attorney; Economics; Education; Empirical Research; Evaluation; Health; Health Care; Hospitals; Life; Living Wills; Medical Records; Nursing Homes; Patient Participation; Patients; Persistent Vegetative State; Physician Patient Relationship; Physicians; Power; Quality of Life; Records; Research; Resuscitation; Review; Socioeconomic Factors; Terminal Care; Terminally Ill; Treatment Refusal; Uncertainty; Values; Wills;
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