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

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...

Use of advance directives in long-term care populations.

An advance directive (AD) allows a patient to communicate health care preferences in the event that he or she is no longer able to make these decisions. Many view advance care planning (ACP)—a process that includes discussing values and goals of care among the patient, family, and physician, and determining or executing treatment directives—as a way to help ensure that wishes about end-of-life ...

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...