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Advance directive decision making among independent community-dwelling older adults
 — a systematic review of health science literature
Author(s)Loralee Sessanna, Mary Ann Jezewski
Journal titleJournal of Applied Gerontology, vol 27, no 4, August 2008
Pagespp 486-510
Sourcehttp://jag.sagepub.com
KeywordsTerminal care ; Medical care ; Law ; Rights [elderly] ; Living in the community ; Literature reviews.
AnnotationThe purpose of this systematic review of health science literature was to examine the current state of science regarding advance directive decision making (ADDM) among independent community-dwelling older adults. Seventeen studies fitting study inclusion criteria established for the purpose of this systematic review were examined. Findings revealed that ADDM has predominantly been explored among widowed, divorced, or never married female Caucasian independent community-dwelling older adults aged 65 years and older possessing a high school level of education. Numerous older adult or health care provider barriers to advance directive discussion and completion were found to exist. There is a lack of research regarding ADDM among independent community-dwelling male older adults, older adults from various ethnic and cultural backgrounds, and older adults receiving lower levels of education. Study replication and the implementation of new studies are needed to strengthen the existing body of older adult, advance directive, evidence-based research. (KJ/RH).
Accession NumberCPA-091105206 A
ClassmarkLV: LK: VR: IKR: K4: 64A

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