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Centre for Policy on Ageing | |
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Advance care planning — preferences for care at the end of life | Author(s) | Barbara L Kass-Bartelmes, Ronda Hughes |
Journal title | Journal of Pain & Palliative Care Pharmacotherapy, vol 18, no 1, 2004 |
Pages | pp 87-110 |
Source | Haworth Document Delivery Service, The Haworth Press Inc., 10 Alice Street, Binghamton NY 13904-1580, USA. http://www.HaworthPress.com |
Keywords | Patients ; Wills [legal services] ; Patients ; Needs [elderly] ; Literature reviews. |
Annotation | Predictors of patient wishes and influence of family and clinicians are discussed. Research findings on patient decision-making relating to preferences in end-of-life care are described. Advance directives and durable powers of attorney are defined and differentiated. Most patients have not participated in advance care planning, and the need for more effective planning is documented. Appropriate times for discussions of such planning are described, in relation to scenarios such as stroke and dementia. Patient satisfaction is discussed, as is a structured process for discussions about patient preferences. Results of patient responses to hypothetical scenarios are described. Invasiveness of interventions, prognosis, and other factors that favour or discourage patient preferences for treatment are examined. Findings resulting from research funded by the Agency for Healthcare Research and Quality (AHRQ) are discussed. This research can help providers offer end-of-life care based on preferences held by the majority of patients under similar circumstances. (KJ/RH). |
Accession Number | CPA-040928216 A |
Classmark | LF: JV:VTH: LF: IK: 64A |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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