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Centre for Policy on Ageing | |
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| Advance directives for seriously ill hospitalized patients: effectiveness with the Patient Self-Determination Act and the SUPPORT intervention | | Author(s) | Joan Teno, Joanne Lynn, Neil Wenger |
| Journal title | Journal of the American Geriatrics Society, vol 45, no 4, April 1997 |
| Pages | pp 500-507 |
| Keywords | Medical care ; Terminal care ; Wills ; Patients ; Doctors ; United States of America. |
| Annotation | Advance directives (ADs), or living wills, are legally endorsed documents that set out instructions for care or name a proxy decision-maker in the event of future decisional incapacity. In the United States (US), the use of such directives was further promoted in the Patient Self-Determination Act (PSDA) 1990. However, little is known about the performance of ADs in practice. This study assessed the effectiveness of ADs in the care of seriously ill hospitalised patients. In particular, it aimed to conduct an evaluation after ADs were promoted by the PSDA and enhanced by the effort to improve decision-making in the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT), focusing on the impact of ADs on decision-making about resuscitation. Results showed that ADs did not substantially enhance physician-patient communication or decision-making about resuscitation, and that increasing the frequency of ADs is unlikely to improve the care of seriously ill patients. |
| Accession Number | CPA-970812256 A |
| Classmark | LK: LV: VTH: LF: QT2: 7T |
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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