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Development of a framework to encourage addressing advance directives when resources are limited
Author(s)Jiska Cohen-Mansfield
Journal titleJournal of Aging and Health, vol 14, no 1, February 2002
Pagespp 24-41
KeywordsMedical care ; In-patients ; Patients [nursing homes] ; Rights [elderly] ; Wills ; Costs [care] ; United States of America.
AnnotationAdvance directives (living wills) are used to increase autonomy in decisions regarding care when a person lacks the ability to communicate such wishes. Based on studies showing internal consistency in individuals' preferences, this US study demonstrates a new method for identifying a list of questions that may best predict patient preferences. Participants were 71 residents of a large nursing home and 97 hospital patients. Models resulted in more than 90% accuracy of treatment preferences for both samples, and eliminated two-thirds to three-quarters of questions asked. Although the specific models need validation using larger samples, they demonstrate a method that facilitates transfer of information concerning treatment preferences, should future incapacitation occur. (KJ/RH).
Accession NumberCPA-020416236 A
ClassmarkLK: LF7: LHB:LF: IKR: VTH: QDC: 7T

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