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THE IMPORTANCE OF ADVANCE DIRECTIVES IN PRIMARY CARE
Primary Care: Clinics in Office Practice, 1996The advance directive has been acknowledged widely by patients and physicians as a desirable tool to promote patient autonomy at the end of life. Rates of completion of advance directives, however, remain low among all segments of the population. Significant patient and physician barriers to completion of advance directives are considered.
C A, Arenson +3 more
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Advance directives in the cardiac care unit
American Heart Journal, 2007Despite effective therapies, mortality for many cardiovascular diseases remains higher than for many cancers and is difficult to predict. Guidelines recommend discussing advance directives (AD), including living wills and durable powers of attorney, with heart failure patients.
James N, Kirkpatrick +3 more
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Delegalizing Advance Directives — Facilitating Advance Care Planning
New England Journal of Medicine, 2017Legal formalities impose barriers to creating advance directives. Eliminating legal requirements would allow such documents to be more easily integrated into health care systems and would increase the likelihood of their being used to achieve their intended goals.
Joshua A, Rolnick +2 more
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Social Work in Health Care, 1999
This study explored the perceptions of health care providers across the continuum of care as to how effective advance directive arrangements were in assuring compliance with the patients' wishes, as well as their overall satisfaction levels with the process.
K, Neuman, L, Wade
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This study explored the perceptions of health care providers across the continuum of care as to how effective advance directive arrangements were in assuring compliance with the patients' wishes, as well as their overall satisfaction levels with the process.
K, Neuman, L, Wade
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Advance directives and establishing the goals of care
Primary Care: Clinics in Office Practice, 2001This article addresses advance directives and methods to establish the goals of care for remaining life in the decisional and nondecisional patient. Without these discussions, patient autonomy is negated, and the opportunity to provide patient-centered care using shared decision making is lost.
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Advance care directives in residential aged care.
Australian family physician, 2015Although most people have clear preferences with regard to end-of-life care, there is a disconnect between these preferences and what happens in practice. Advance care directives (ACDs) are a way of allowing people to plan ahead for any future loss in decision-making capacity, by allowing a systematic approach to decision making that respects the ...
Leditschke, I. Anne +2 more
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Advance Care Planning (See Advance Directive)
2021Advance care planning (ACP) (a.k.a. end-of-life care) is the process in which patients discuss their goals and preferences for future treatment and care with their relatives and healthcare providers. This process is important since patients may receive treatments such as resuscitation that they preferred not to receive.
Henk ten Have +1 more
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Advance directives in the primary care setting
Wiener Klinische Wochenschrift, 2004Advance directives have been available for more than 20 years, yet only 2% of patients report having had a discussion about them with their physician. Physicians and patients appear to be reluctant to bring up the subject despite evidence that patients not only want help with advance directives, but report more satisfaction with their health care when ...
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Advance directives in dementia care: from instructions to instruments
Patient Education and Counseling, 2001Advance directives are often regarded as instructions to the doctor about future care. This view is problematic, in that it obliterates that decisions about treatment and care always take place in a concrete situation, and require interpretation and communication.
Widdershoven, G. A M, Berghmans, R. L P
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A Holistic perspective on comfort care as an advance directive
Critical Care Nursing Quarterly, 1996Critical care nurses are frequently involved with patients and families who must choose among the various advance directives. Although "comfort care" is a familiar option, there is a lack of clarity about specific components of comfort as well as the nurse's role as a member of the interdisciplinary team.
K Y, Kolcaba, E M, Fisher
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