The maladaptation of Miranda to advance directives: a critique of the implementation of the Patient Self-Determination Act.

The patient self-determination act and psychiatric care.

The Patient Self-Determination Act (PSDA) has been in effect since December 1, 1991. The primary purpose of the PSDA is to promote patient awareness of advance directives. Many psychiatrists are unaware of the PSDA and its requirements or believe that the PSDA does not apply to psychiatric facilities and patients. In this article the requirements of the PSDA are reviewed. Potential applications...

The patient self-determination act and advance directive completion in nursing homes.

OBJECTIVES To assess the prevalence of advance directives among nursing home residents before and after passage of the Patient Self-Determination Act (PSDA) and to identify factors associated with advance directive completion. DESIGN Prestudy and poststudy nursing home admissions using medical record reviews and a companion cross-sectional survey of alert and oriented residents. SETTING Six...

The limits of advance directives: a history and assessment of the Patient Self-Determination Act.

ملاحظات اخلاقی درراهنمای پیشینی (مراقبت) و بررسی اجمالی جنبه های اخلاقی و حقوقی آن در زمینه‌ی آموزه‌های اسلامی

According to the principle of respect for autonomy, which is one of the essential precepts of medical ethics, patients are entitled to the right of self-determination for a hypothetical future when they may lose the decision-making capacity. Thus, when still adequately competent to make decisions, a person can prepare a document and predict their therapeutic options and state their wishes for t...

Implementation of the Patient Self - Determination Act : A Comparison of Nursing Homes to Hospitals Melissa

or Medicaid funds to provide information about advance directives and the right of patients to refuse medical treatment. Administrators of 155 nursing homes in the state of Georgia completed surveys to assess implementation practices employed to comply with the PSDA mandates, knowledge of the law, and perceived effects of the passage of the PSDA. Responses from nursing home administrators were ...