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Centre for Policy on Ageing | |
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| A new health care directive for long-term care elderly based on personal values of life | | Author(s) | Najmi Nazerali, Bernadette Ska, Yvette Lajeunesse |
| Journal title | Canadian Journal on Aging, vol 17, no 1, 1998 |
| Pages | pp 24-39 |
| Keywords | Medical care ; Terminal care ; Long term patients ; Dementia ; Doctors ; Canada. |
| Annotation | Deciding on the appropriate intensity of investigation and treatment for individual older patients in long-term care settings can prove complex for physicians, especially when patients are incompetent to decide for themselves. However, respecting established intervention levels may represent an even greater challenge, given the realities of coverage by on-call physicians. This article describes a new intervention level scale for competent and incompetent older patients in long-term care, and its validation as a communication tool between attending and on-call physicians. Specific areas studied were: concordance of interventions; whether prior knowledge of an intervention level by an on-call physician was considered useful; applicability of the scale in different institutions; and necessity of physician training for optimal use. The authors conclude that the scale's uniqueness lies in the fact that it is based on personal values of life, rather than institutional resources, and it includes directives on family contact. (AKM). |
| Accession Number | CPA-980702403 A |
| Classmark | LK: LV: LF7:4Q: EA: QT2: 7S |
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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