Redrafting Ohio's advance directive laws.

Senate Bill 1, Ohio's advance directives law: where have we been...where are we going?

Lost in translation: the unintended consequences of advance directive law on clinical care.

BACKGROUND Advance directive law may compromise the clinical effectiveness of advance directives. PURPOSE To identify unintended legal consequences of advance directive law that may prevent patients from communicating end-of-life preferences. DATA SOURCES Advance directive legal statutes for all 50 U.S. states and the District of Columbia and English-language searches of LexisNexis, Westlaw...

Advance directives and medical treatment at the end of life.

To assess the consequences of advance medical directives--which explicitly specify a patient's preferences for one or more specific types of medical treatment in the event of a loss of competence--we analyze the medical care of elderly Medicare beneficiaries who died between 1985 and 1995. We compare the care of patients from states that adopted laws enhancing incentives for compliance with adv...

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...

Elderly outpatients respond favorably to a physician-initiated advance directive discussion.

BACKGROUND Little is known about the emotional impact of physician-initiated advance directive discussions. METHODS One hundred ambulatory patients aged 65 years and older were randomly assigned to receive either a physician-initiated discussion of advance directive choices of a discussion of health promotion issues. Prediscussion, immediate postdiscussion, and 1-week postdiscussion measures ...