Assessment of competence to complete advance directives

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چکیده

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Assessment of competence to complete advance directives: validation of a patient centred approach.

OBJECTIVE To develop a patient centred approach for the assessment of competence to complete advance directives ("living wills") of elderly people with cognitive impairment. DESIGN Semistructured interviews. SETTING Oxfordshire. SUBJECTS 50 elderly volunteers living in the community, and 50 patients with dementia on first referral from primary care. MAIN OUTCOME MEASURES Psychometric pr...

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Dementia is highly prevalent and incurable. The participation of dementia patients in clinical research is indispensable if we want to find an effective treatment for dementia. However, one of the primary challenges in dementia research is the patients' gradual loss of the capacity to consent. Patients with dementia are characterized by the fact that, at an earlier stage of their life, they wer...

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Competence to complete psychiatric advance directives: effects of facilitated decision making.

Psychiatric advance directives (PADs) statutes presume competence to complete these documents, but the range and dimensions of decisional competence among people who actually complete PADs is unknown. This study examines clinical and neuropsychological correlates of performance on a measure to assess competence to complete PADs and investigates the effects of a facilitated PAD intervention on d...

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Advance directives to protect embryos?

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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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ژورنال

عنوان ژورنال: BMJ

سال: 1999

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.318.7200.1765