Advance Directives as Acts of Communication

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چکیده

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Advance directives as acts of communication: a randomized controlled trial.

BACKGROUND Instructional advance directives are widely advocated as a means of preserving patient self-determination at the end of life based on the assumption that they improve surrogates' understanding of patients' life-sustaining treatment wishes. However, no research has examined whether instructional directives are effective in improving the accuracy of surrogate decisions. PARTICIPANTS ...

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Relationship of advance directives to physician-patient communication.

BACKGROUND Although advance medical directives, such as living wills and durable powers of attorney for health care, are by themselves imperfect instruments for expressing patients' treatment preferences, a possible benefit of these documents is that they will enhance patient-physician communication, especially when end-of-life treatment decisions have to be made. METHOD Structured interviews...

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Do Advance Directives Direct?

Resolution of long-standing debates about the role and impact of advance directives - living wills and powers of attorney for health care - has been hampered by a dearth of appropriate data, in particular data that compare the process and outcomes of end-of-life decision making on behalf of patients with and without advance directives. Drawing on a large ethnographic study of patients in two in...

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Advance directives for truth disclosure.

INTRODUCTION Although most patients wish to be fully informed about bad news such as a diagnosis of cancer, a significant minority prefer no or minimal information. We examined the value of asking patients about their disclosure preferences at the outset of hospitalization. METHODS Consecutive patients admitted to a respiratory and a geriatric unit were asked whether and how they would wish t...

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Law, autonomy and advance directives.

The principle of autonomy underpins legal regulation of advance directives that refuse life-sustaining medical treatment. The primacy of autonomy in this domain is recognised expressly in the case law, through judicial pronouncement, and implicitly in most Australian jurisdictions, through enactment into statute of the right to make an advance directive. This article seeks to justify autonomy a...

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ژورنال

عنوان ژورنال: Archives of Internal Medicine

سال: 2001

ISSN: 0003-9926

DOI: 10.1001/archinte.161.3.421