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Centre for Policy on Ageing | |
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| Problems in implementing the Patient Self-Determination Act in nursing homes | | Author(s) | Leslie Walker, Elizabeth Bradley, Barbara Blechner |
| Journal title | Journal of Mental Health and Aging, vol 4, no 1, Spring 1998 |
| Pages | pp 83-96 |
| Keywords | Patients [nursing homes] ; Terminal care ; Law ; Rights [elderly] ; Nursing homes ; United States of America. |
| Annotation | The Patient Self-Determination Act (PSDA) requires that all US health care organisations receiving Medicare or Medicaid funds provide patients with written information about advance directives and document existing advance directives in patients' medical records. Implementation of this law in nursing homes is particularly important, yet challenging, due to the prevalence of cognitive impairment and deaths, and a history of limited resident autonomy. This study uses qualitative research techniques to examine implementation of PSDA five years after its passage. Despite reported enhanced public awareness concerning advance directives and improved institutional processes for end-of-life decision-making, problems concerning the roles of institutions, families and staff in promoting resident autonomy via the PSDA persist. (RH). |
| Accession Number | CPA-981110207 A |
| Classmark | LHB:LF: LV: VR: IKR: LHB: 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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