Advance Directive Adherence: Compliance by health personnel or proxies with the stipulations of ADVANCE DIRECTIVES (or similar directives such as RESUSCITATION ORDERS) when patients are unable to direct their own care.Advance Directives: Declarations by patients, made in advance of a situation in which they may be incompetent to decide about their own care, stating their treatment preferences or authorizing a third party to make decisions for them. (Bioethics Thesaurus)Living Wills: Written, witnessed declarations in which persons request that if they become disabled beyond reasonable expectation of recovery, they be allowed to die rather than be kept alive by extraordinary means. (Bioethics Thesaurus)Advance Care Planning: Discussions with patients and/or their representatives about the goals and desired direction of the patient's care, particularly end-of-life care, in the event that the patient is or becomes incompetent to make decisions.Life Support Care: Care provided patients requiring extraordinary therapeutic measures in order to sustain and prolong life.Proxy: A person authorized to decide or act for another person, for example, a person having durable power of attorney.Withholding Treatment: Withholding or withdrawal of a particular treatment or treatments, often (but not necessarily) life-prolonging treatment, from a patient or from a research subject as part of a research protocol. The concept is differentiated from REFUSAL TO TREAT, where the emphasis is on the health professional's or health facility's refusal to treat a patient or group of patients when the patient or the patient's representative requests treatment. Withholding of life-prolonging treatment is usually indexed only with EUTHANASIA, PASSIVE, unless the distinction between withholding and withdrawing treatment, or the issue of withholding palliative rather than curative treatment, is discussed.Legal Guardians: A legal concept for individuals who are designated to act on behalf of persons who are considered incapable of acting in their own behalf, e.g., minors and persons found to be not mentally competent.Mental Competency: The ability to understand the nature and effect of the act in which the individual is engaged. (From Black's Law Dictionary, 6th ed).Resuscitation Orders: Instructions issued by a physician pertaining to the institution, continuation, or withdrawal of life support measures. The concept includes policies, laws, statutes, decisions, guidelines, and discussions that may affect the issuance of such orders.Medication Adherence: Voluntary cooperation of the patient in taking drugs or medicine as prescribed. This includes timing, dosage, and frequency.Personal Autonomy: Self-directing freedom and especially moral independence. An ethical principle holds that the autonomy of persons ought to be respected. (Bioethics Thesaurus)Terminal Care: Medical and nursing care of patients in the terminal stage of an illness.Judicial Role: The kind of action or activity proper to the judiciary, particularly its responsibility for decision making.Patient Self-Determination Act: The purpose of this 1990 federal act is to assure that individuals receiving health care services will be given an opportunity to participate in and direct health care decisions affecting themselves. Under this act, hospitals, health care agencies, and health maintenance organizations are responsible for developing patient information for distribution. The information must include patients' rights, advance directives, living wills, ethics committees' consultation and education functions, limited medical treatment (support/comfort care only), mental health treatment, resuscitation, restraints, surrogate decision making and transfer of care. (from JCAHO, Lexicon, 1994)Right to Die: The right of the patient or the patient's representative to make decisions with regard to the patient's dying.
(1/32) Autonomy, liberalism and advance care planning.

The justification for advance directives is grounded in the notion that they extend patient autonomy into future states of incompetency through patient participation in decision making about end-of-life care. Four objections challenge the necessity and sufficiency of individual autonomy, perceived to be a defining feature of liberal philosophical theory, as a basis of advance care planning. These objections are that the liberal concept of autonomy (i) implies a misconception of the individual self, (ii) entails the denial of values of social justice, (iii) does not account for justifiable acts of paternalism, and (iv) does not account for the importance of personal relationships in the advance care planning process. The last objection is especially pertinent in light of recent empirical research highlighting the importance of personal relationships in advance care planning. This article examines these four objections to autonomy, and the liberal theoretical framework with which it is associated, in order to re-evaluate the philosophical basis of advance care planning. We argue that liberal autonomy (i) is not a misconceived concept as critics assume, (ii) does not entail the denial of values of social justice, (iii) can account for justifiable acts of paternalism, though it (iv) is not the best account of the value of personal relationships that arise in advance care planning. In conclusion, we suggest that liberalism is a necessary component of a theoretical framework for advance care planning but that it needs to be supplemented with theories that focus explicitly on the significance of personal relationships.  (+info)

(2/32) Decisions to treat or not to treat pneumonia in demented psychogeriatric nursing home patients: development of a guideline.

Non-treatment decisions concerning demented patients are complex: in addition to issues concerning the health of patients, ethical and legal issues are involved. This paper describes a method for the development of a guideline that clarifies the steps to be taken in the decision making process whether to forgo curative treatment of pneumonia in psychogeriatric nursing home patients. The method of development consisted of seven steps. Step 1 was a literature study from which ethical, juridical and medical factors concerning the patient's health and prognosis were identified. In step 2, a questionnaire was sent to 26 nursing home physicians to determine the relative importance of these factors in clinical practice. In a meeting of nine experienced physicians (step 3), the factors identified in step 2 were confirmed by most of these professionals. To prevent the final guideline being too directive, a concept guideline that included ethical and legal aspects was designed in the form of a "checklist of considerations" (step 4). Experts in the fields of nursing home medicine, ethics and law reviewed and commented on the concept guideline (step 5). The accordingly adapted "checklist of considerations" was tested in a pilot study (step 6), after which all experts endorsed the checklist (step 7). The resulting "checklist of considerations" structures the decision making process according to three primary domains: medical aspects, patient's autonomy, and patient's best interest (see annex at end of paper).  (+info)

(3/32) Physicians's reports on the impact of living wills at the end of life in Japan.

CONTEXT: A growing number of Japanese people have completed advance directives, especially living wills, even though there is no legislation recognising such documents and little empirical research on their impact on clinical care at the end of life in Japan. OBJECTIVES: To investigate physicians' attitudes about living wills and their experiences with patients who had completed a living will and later died. DESIGN: Self administered survey and qualitative study using open question and content analysis. SETTING: Japan. PARTICIPANTS: Physicians known to have cared for a patient who had presented a living will prior to death. MEASUREMENTS: The physician's response to receiving a living will, communication about the living will, the impact of the living will on clinical care, demographics, and their opinion on advance directives, especially living wills. MAIN RESULTS: Fifty five per cent of respondents approved of advance directives in general, and 34% had more opportunities to communicate with a patient and his/her family after receiving the living will. Sixty nine per cent of the physicians who received a living will did not, however, change their course of therapy as a consequence of receiving the living wills. Based on the analysis, we identified three areas of concern in the comments on living wills: (1) concerns relative to patients, physicians, and families; (2) social context, and (3) clinical and administrative concerns. The physicians raised various topics for discussion; they tended to describe the issues from a clinical perspective. CONCLUSIONS: Our identified areas of concern should prove helpful in better understanding the clinical and ethical implications of living wills in Japan.  (+info)

(4/32) Adherence to advance directives in critical care decision making: vignette study.

OBJECTIVE: To explore health professionals' decision making in a critical care scenario when there is an advance directive. DESIGN: Qualitative study. SETTING: Scotland. PARTICIPANTS: Interviewees (n = 12) comprising general practitioners, hospital specialists, and nurses, and six focus groups (n = 34 participants) comprising general practitioners, geriatricians (consultants and specialist registrars), hospital nurses, and hospice nurses. RESULTS: When presented with an advance directive that applied to the same hypothetical scenario, health professionals came to divergent conclusions as to the "right thing to do." Arguments opposing treatment centred on the supremacy of autonomy as an ethical principle. Other arguments were that the decision to treat was consistent with the terms of the advance directive, or that, notwithstanding the advance directive, the patient's quality of life was sufficient to warrant treatment. CONCLUSION: Advance directives are open to widely varying interpretation. Some of this variability is related to the ambiguity of the directive's terminology whereas some is related to the willingness of health professionals to make subjective value judgments concerning quality of life.  (+info)

(5/32) Respecting end-of-life treatment preferences.

Most patients eventually must face the process of planning for their future medical care. However, few Americans have a living will or a durable power of attorney for health care. Although advance directives provide a legal basis for physicians to carry out treatment using a health care proxy or a living will, they also should reflect the patient's values and preferences. Family physicians are in a position to integrate medical knowledge, individual values, and cultural influences into end-of-life care. Family physicians can best respect the autonomy of patients by allowing the patient and family to prospectively identify relevant health care preferences, by sustaining an ongoing discussion about end-of-life preferences, and by abiding by the decisions their patients have made.  (+info)

(6/32) Living wills and the Mental Capacity Act: a postal questionnaire survey of UK geriatricians.

OBJECTIVE: To determine geriatricians' experience of and views on living wills, National Health Service Trusts' support of advance end-of-life health care planning and geriatricians' views on related legal changes in the Mental Capacity Act. DESIGN: Anonymous postal questionnaire survey of all 1,426 British Geriatrics Society members in England, Wales and Northern Ireland. RESULTS: A total of 842 (59%) questionnaires were returned. Of 811 geriatricians, 454 (56%) had cared for patients with living wills. Of the 280 who cared for patients when the living will had come into effect, 108 (39%) had changed treatment because of the living will and 84 (78%) of those felt that decisions had been easier to make. Living wills not already in effect made discussions with patients [171 of 178 (96%)] and families [135 of 178 (76%)] easier. Of 779 geriatricians, 713 (92%) saw advantages of older people using living wills; 467 of these also expressed concerns. Only 16 (2%) geriatricians who had concerns said that there were no advantages. A total of 214 (27%) were aware that their Trust had a form to help with discussions about cardiopulmonary resuscitation. Fewer [126 of 781 (16%)] were aware of a Trust policy on living wills. The proposal, in the Mental Capacity Bill, for advance refusals of treatment was supported by 59% (476 of 801), yet the proposal for a lasting power of attorney (LPA) covering health care was only supported by 47% (382 of 806). CONCLUSION: Many geriatricians have positive experiences of caring for patients with living wills. Despite recognising potential problems, most geriatricians support the use of living wills by older people. However, most believe that their Trust does not have a policy to support advance health care planning. Geriatricians have reservations about LPAs covering health care.  (+info)

(7/32) Perioperative do-not-resuscitate orders--doing 'nothing' when 'something' can be done.

Cardiopulmonary resuscitation (CPR) has the ability to reverse premature death. It can also prolong terminal illness, increase discomfort and consume enormous resources. Despite the desire to respect patient autonomy, there are many reasons why withholding CPR may be complicated in the perioperative setting. This review outlines these factors in order to offer practical suggestions and to provoke discussion among perioperative care providers. Although originally described for witnessed intraoperative arrests, closed chest cardiac massage quickly became universal practice, and a legal imperative in many hospitals. Concerns were raised by both health care workers and patient groups; this eventually led to the creation of the do-not-resuscitate (DNR) order. However, legal precedents and ethical interpretations dictated that patients were expected to receive full resuscitation unless there was explicit documentation to the contrary. In short, CPR became the only medical intervention that required an order to prevent it from being performed. Before the 1990s, patients routinely had pre-existing DNR orders suspended during the perioperative period. Several articles criticized this widespread practice, and the policy of 'required reconsideration' was proposed. Despite this, many practical issues have hindered widespread observance of DNR orders for surgical patients, including concerns related to the DNR order itself and difficulties related to the nature of the operating room environment. This review outlines the origins of the DNR order, and how it currently affects the patient presenting for surgery with a pre-existing DNR order. There are many obstacles yet to overcome, but several practical strategies exist to aid health care workers and patients alike.  (+info)

(8/32) Content of advance directives for individuals with advanced dementia.

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*  List of MeSH codes (N05)
... advance directive adherence MeSH N05.715.360.335 --- evaluation studies MeSH N05.715.360.395 --- guideline adherence MeSH ...
*  List of MeSH codes (N04)
... advance directive adherence MeSH N04.761.337 --- guideline adherence MeSH N04.761.380 --- medical audit MeSH N04.761.380.100 ... advance care planning MeSH N04.590.233.624.124.050 --- advance directives MeSH N04.590.233.624.124.050.500 --- living wills ...
*  Physician Orders for Life-Sustaining Treatment
Unlike advance directives, a POLST summarizes the patients' wishes in the form of medical orders. An advance directive is a ... POLST more accurately conveys end-of-life preferences and yields higher adherence by medical professionals." The National ... To designate a health care surrogate, patients must use an advance directive. An advance directive allows you to generally ... One difference between a POLST form and an advance directive is that the POLST form is designed to be actionable throughout an ...
*  Exit (Right-to-Die Organisation)
Exit worked for the acceptance of the living will (Advance health care directive), initially advocating a living will using a ... Exit uses the Carver Model of Policy Governance in the running of its affairs to ensure strict adherence to its aims. Exit ... Exit highlights both the benefits and shortcomings of advance health care directives and has sought to establish proper ... Docker, Chris (20 August 1999). "Problems with advance refusals". British Medical Journal. McLean, Sheila (1996). Contemporary ...
*  Geriatrics
They may have previously prepared a power of attorney and advance directives to provide guidance if they are unable to ... Self-reported noncompliance with adherence to a medication schedule was reported by a striking one-third of the participants. ... The care of older people in the UK has been advanced by the implementation of the National Service Frameworks for Older People ... George Day published the Diseases of Advanced Life in 1849, one of the first publications on the subject of geriatric medicine ...
*  Banking Ombudsman Scheme (India)
Refusal to close or delay in closing the accounts; Non-adherence to the fair practices code as adopted by the bank; and ... Any other matter relating to the violation of the directives issued by the Reserve Bank in relation to banking or other ... other than loans and advances) promised in writing by a bank or its direct selling agents; Delays, non-credit of proceeds to ... Non-adherence by the bank or its subsidiaries to the instructions of Reserve Bank on ATM/debit card operations or credit card ...
*  Placebo-controlled study
p.28 "Influence of adherence to treatment and response of cholesterol on mortality in the coronary drug project". N. Engl. J. ... In 1964, the World Medical Association issued the Declaration of Helsinki,[3] which specifically limited its directives to ... and codes of practice have been gradually developed as a response to advances in scientific medicine. The Nuremberg Code, which ... Gallagher, E. J.; Viscoli, C. M.; Horwitz, R. I. (1993). "The relationship of treatment adherence to the risk of death after ...
*  Ernst Busch (field marshal)
It captured the city of Krakow, reached the Vistula River and advanced as far as Lvov. During the campaign in Poland, he was ... This only strengthened Busch's resolve to follow Hitler's directives without question. By mid-June, the 700,000 troops of Army ... In the meantime, Busch became depressed after his sacking which effectively came about because of his adherence to Hitler's ... He was replaced by Generalfeldmarschall Walter Model who managed to stop the advance of the Red Army but only after they had ...
*  Health psychology
Estimated adherence rates are difficult to measure (see below); there is, however, evidence that adherence could be improved by ... Recent advances in psychological, medical, and physiological research have led to a new way of thinking about health and ... Doctor-centered consultations are generally directive, with the patient answering questions and playing less of a role in ... Advanced credentialing in the US as a clinical health psychologist is provided through the American Board of Professional ...
*  Zionist Freedom Alliance
On the organization's website, ZFA claims to take a revolutionary step in the Zionist world by combining a faithful adherence ... That means pressuring members of Knesset from different parties to advance legislation against accepting foreign money or ... they also believe that Israel must obey the directives of foreign governments, which often demand such concessions. While ...
*  2004 attempt to revive the Sanhedrin
Absolute adherence to traditional Rabbinic authorities and procedure; Caution and conservatism; Independence from any other ... The Sanhedrin Initiative seeks to empower Jews to perform national mitzvot that thanks to technological advances and/or ... that it is the only authorized national institution to deal with the legal aspects of warfare and to give policy directives to ...
*  Residency (medicine)
While these limits are voluntary, adherence has been mandated for the purposes of accreditation, though lack of adherence to ... Similar concerns have arisen in Europe, where the Working Time Directive limits doctors to 48 hours per week averaged out over ... Residency as an opportunity for advanced training in a medical or surgical specialty evolved in the late 19th century from ... For all ACGME accredited programs since 2007, there was a call for adherence to ethical principles. In a survey of more than ...
*  Military strategy
... the adherence to the Napoleonic principles in the face of technological advances such as the long-range infantry breechloader ... He recognised the need to delegate control to subordinate commanders and to issue directives rather than specific orders. ... School of Advanced Air and Space Studies. AAP-6(V) NATO Glossary of Terms and Definitions British Defence Doctrine, Edition 3, ... Technological advances also had a huge influence on strategy: aerial reconnaissance, artillery techniques, poison gas, the ...
*  Vehicle inspection
The EU Council Directive 96/96/EC of 20 December 1996 mandates all member states to carry out periodic safety and emission ... The actual inspection can be carried out one month in advance of that date and up to four months after the date indicated on ... In Russia all vehicles must pass a periodic inspection ensuring their road worthiness that includes the adherence to the ... In August 2005 the Turkish government decided to introduce a vehicle inspection scheme following the directive 96/96/EC of the ...
*  Clean Language Interviewing
Practitioners of CLI do not claim it does not influence nor that it is "non-directive". They acknowledge that the interviewer's ... Furthermore, a systematic application of a 'cleanness rating' protocol provides a quantitive measure of adherence to interview ... Advances in Developing Human Resources, 17(3):321-336. https://doi.org/10.1177/1523422315587897 Cairns-Lee, H. (2017) An ... "non-directive therapy". There has been growing use of Clean Interviewing. While it is ideally suited to research (especially ...
*  International labor standards
... to then issue directives in any of these areas of labour policy. Member states must comply with these directives; however, what ... In this case, investors rewarded adherence to the code, as a sign of corporate citizenship. On the other hand, consumers can ... Such factors included rising labour costs in the north, advances in transportation and communication technologies, the ... While these directives allow for labour concerns to be brought above the national level, the presence of philosophical ...
*  Sixpack (European Union law)
4. Directive 2011/85/EU: On requirements for budgetary frameworks of the Member States. The directive shall be implemented by ... creating in advance a "strong budgetary governance and a watertight system of monitoring and surveillance" in the Eurozone, ... where the implementation funding would be paid by the CCI fund conditional on strict adherence to a prior signed "contractual ... "COUNCIL DIRECTIVE 2011/85/EU of 8 November 2011: On requirements for budgetary frameworks of the Member States". Official ...
*  2007 United States Air Force nuclear weapons incident
The directive further instructs that all nonnuclear munitions and missiles must be labeled with placards clearly stating that ... "there has been an erosion of adherence to weapons-handling standards at Minot Air Force Base and at Barksdale Air Force Base" ... including the AGM-129 Advanced Cruise Missile. The AGM-129 was fielded in 1987 as a stealthy cruise missile platform to deliver ... In the Army and Air Force, this term includes a 'significant incident' as defined in DoD Directive 5100.52". In response to the ...
*  National Association of Personal Financial Advisors
Advance health care directive, durable power of attorney, etc.). In addition to developing standards for financial advisors and ... Adherence to a fee-only standard is strict: NAPFA members cannot accept compensation in any form from any source other than ... Also, unlike other financial planners, NAPFA members are required to clearly disclose the fee in advance. However, NAPFA ...
*  Motorcycle testing and measurement
In directive 92/61/EEC of 30 June 1992 relating to the type-approval of two or three-wheel motor vehicles, it is referred to as ... The adherence to "styling aerodynamics" (as opposed to measurably improved aerodynamics) and ergonomic considerations have ... 7, p. 51, ISSN 0011-4286 Coyner, Dale (2007), The Essential Guide to Motorcycle Travel: Tips, Technology, Advanced Techniques, ... Since then most other manufacturers have followed, in order to comply with EC directives that explicitly state that the values ...
*  Commissar Order
In December 1940 Hitler began sending out vague preliminary directives to senior generals on how the war was to be conducted, ... Hitler was well aware that this order was illegal, but personally absolved in advance any soldiers who violated international ... the adherence of the enemy to the principles of humanity or international law is not to be counted upon. In particular it can ...
*  The People of Freedom
Fini departed from party's majority line on stem cell research, end of life issues, advance health care directive and ... The document stressed the adherence of the party to the values and the platform of the European People's Party (EPP), its ...
*  Prussian Army
After a few initial salvos, the infantry was to advance quickly for a bayonet charge. The Prussian cavalry was to attack as a ... He accomplished this by means of directives stating his intentions, rather than detailed orders, and he was willing to accept ... During a constitutional crisis in 1819, Frederick William III recognized Prussia's adherence to the anti-revolutionary Carlsbad ... In the actual event of the first world war; on the Western Front, the German advance stalled into trench warfare after the ...
*  Integrational theory of language
One of the most distinctive features of the integrational theory of language is its adherence to ontological explicitness and ... "Integrational Semantics: An integrative view of linguistic meaning". In: Maxim Stamenov (ed.). Current Advances in Semantic ... a pair consisting of a directive part (determining a speech act type) and a proposition; and (iii) a propositional background, ... "Integrational Semantics: An integrative view of linguistic meaning". In: Maxim Stamenov (ed.). Current Advances in Semantic ...
*  Molotov-Ribbentrop Pact
Moreover, facing a German military advance, Lenin and Trotsky were forced to enter into the Treaty of Brest-Litovsk, which ... Stalin's adherence to the collective security line was purely conditional. Britain and France believed that war could still be ... followed five weeks thereafter by Hitler's issuance of a secret directive "to take up the Russian problem, to think about war ... both the UK and US showed understanding that the buffer zone was necessary to keep Hitler from advancing for some time, ...
*  William Byrd
A second directive, dated 29 November, issued detailed instructions regarding Byrd's use of the organ in the liturgy. On 14 ... The continued adherence of Byrd and his family to Catholicism continued to cause him difficulties, though a surviving reference ... Addressing Petre (who is known to have lent him money to advance the printing of the collection), Byrd describes the contents ... Byrd's staunch adherence to Catholicism did not prevent him from contributing memorably to the repertory of Anglican church ...
The role of advance directives in end-of-life decisions in Austria: survey of intensive care physicians | BMC Medical Ethics |...  The role of advance directives in end-of-life decisions in Austria: survey of intensive care physicians | BMC Medical Ethics |...
Adherence to advance directives. Percentage of positive ("Yes") and negative ("No") adherence to advance directives by ... Adherence to an advance directive may cause conflicts; either owing to the physicians' ethical values or within the treatment ... experience with advance directives and only 9 directors of intensive care units had dealt with more than 10 advance directives ... intensive care physicians consider advance directives to be helpful tools and if they recommend creating an advance directive ...
more infohttps://bmcmedethics.biomedcentral.com/articles/10.1186/1472-6939-11-19
Literature Review on Advance Directives | ASPE  Literature Review on Advance Directives | ASPE
Department of Health and Human Services Literature Review on Advance Directives Anne Wilkinson, Ph.D., Neil Wenger, M.D., M.P.H ... Thompson T, Barbour R, Schwartz L. Adherence to advance directives in critical care decision making: vignette study. Bmj. Nov 1 ... HISTORY OF ADVANCE DIRECTIVES/ADVANCE CARE PLANNING. IV. ETHICAL ISSUES IN ADVANCE DIRECTIVES AND ADVANCE CARE PLANNING. V. ... Advance Directives and Advance Care Planning: Report to Congress Advance Directives and Advance Care Planning for People with ...
more infohttps://aspe.hhs.gov/basic-report/literature-review-advance-directives
Advance Directives and Cost SavingsGreater Clarity and Perpetual Confusion | JAMA Internal Medicine | The JAMA Network  Advance Directives and Cost SavingsGreater Clarity and Perpetual Confusion | JAMA Internal Medicine | The JAMA Network
It is unclear if advance directives (living wills) are associated with end-of-life expenditures and treatments.Objective: To ... Treatment Adherence. *United States Preventive Services Task Force. *Urology. *Users' Guide to the Medical Literature ... Advance Directives and Cost SavingsGreater Clarity and Perpetual Confusion. Scott D. Halpern, MD, PhD; Ezekiel J. Emanuel, MD, ... Advance Directives and Cost SavingsGreater Clarity and Perpetual Confusion. Arch Intern Med. 2012;172(3):266-268. doi:10.1001/ ...
more infohttps://jamanetwork.com/journals/jamainternalmedicine/article-abstract/1108686?redirect=true
Depression: Collaborative Care | The Community Guide  Depression: Collaborative Care | The Community Guide
exp *Guideline Adherence/ or exp *Advance Directive Adherence. *exp *Mental Health Services/ or mental health counselor.mp ... Adherence is the client/consumer/patient administration of therapies in a manner consistent with an agreed upon treatment plan. ... Patient follow up to track depression outcomes and adherence to treatment. *Adjustment of treatment plans for patients who do ... Adherence to prescribed treatment - patients more often took the medication prescribed for their depression ...
more infohttps://www.thecommunityguide.org/findings/mental-health-and-mental-illness-collaborative-care-management-depressive-disorders
Clarke B[au] - PubMed - NCBI  Clarke B[au] - PubMed - NCBI
Adherence to "No Transfer to Hospital" Advance Directives Among Nursing Home Residents. ...
more infohttps://www.ncbi.nlm.nih.gov/pubmed?cmd=search&term=Clarke+B%5Bau%5D&dispmax=50
Disparities in a provision of in-hospital post-arrest interventions for out-of-hospital cardiac arrest (OHCA) in the elderly...  Disparities in a provision of in-hospital post-arrest interventions for out-of-hospital cardiac arrest (OHCA) in the elderly...
... adherence? or compliance) adj3 ("advance directive" or directive?)) or ((withdraw$ or cessat$ or withhold$) adj3 (treatment? or ... or resuscitation orders/or advance directive adherence/or withholding treatment/or refusal to treat/or refusal to participate/ ... Does advanced age matter in outcomes after out-of-hospital cardiac arrest in community-dwelling adults? Acad Emerg Med. 2000;7( ... In view of the increasing evidence that advanced age is not associated with worse outcome for cardiovascular procedures (e.g., ...
more infohttps://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-016-0234-4
Mandated Community Treatment: Applying Leverage to Achieve Adherence | Journal of the American Academy of Psychiatry and the Law  Mandated Community Treatment: Applying Leverage to Achieve Adherence | Journal of the American Academy of Psychiatry and the Law
Usually, advance directives pertain to medical care at the end of life. But a 1991 federal law has given impetus to mental ... Psychiatric Advance Directives. One way to establish a person's preferences regarding future treatment, should the person ... Swanson J, Swartz M, Ferron J, et al: Psychiatric advance directives among public mental health consumers in five U.S. cities: ... Across the sites, only 4 to 13 percent of participants had completed a psychiatric advance directive; however, between 66 and ...
more infohttp://jaapl.org/content/36/3/282.full
Respecting End-of-Life Treatment Preferences - - American Family Physician  Respecting End-of-Life Treatment Preferences - - American Family Physician
Although advance directives provide a legal basis for physicians to carry out treatment using a health care proxy or a living ... retrospective study25 reported an increase in prevalence and adherence after a large community-based advance directive program ... Advanced directives do not need to include a do-not-resuscitate (DNR) order, and the patient does not need an advanced ... Advanced directives do not need to include a do-not-resuscitate (DNR) order, and the patient does not need an advanced ...
more infohttps://www.aafp.org/afp/2005/1001/p1263.html
List of MeSH codes (N05) - Wikipedia  List of MeSH codes (N05) - Wikipedia
... advance directive adherence MeSH N05.715.360.335 --- evaluation studies MeSH N05.715.360.395 --- guideline adherence MeSH ...
more infohttps://en.wikipedia.org/wiki/List_of_MeSH_codes_(N05)
List of MeSH codes (N04) - Wikipedia  List of MeSH codes (N04) - Wikipedia
... advance directive adherence MeSH N04.761.337 --- guideline adherence MeSH N04.761.380 --- medical audit MeSH N04.761.380.100 ... advance care planning MeSH N04.590.233.624.124.050 --- advance directives MeSH N04.590.233.624.124.050.500 --- living wills ...
more infohttps://en.wikipedia.org/wiki/List_of_MeSH_codes_(N04)
Understanding Hospital Admissions Close to the End of Life (ACE) Study | BMC Health Services Research | Full Text  Understanding Hospital Admissions Close to the End of Life (ACE) Study | BMC Health Services Research | Full Text
The study focuses on the admission of patients with advanced dementia, chest disease or cancer who die within 72 hours of ... Thompson T, Barbour R, Schwartz L: Adherence to advance directives in critical care decision making: vignette study. BMJ. 2003 ... The study focuses on the admission of patients with advanced dementia, chest disease or cancer who die within 72 hours of ... Phase 1 of the study adopts a qualitative case-study approach centred on patients aged 65 or older with advanced dementia, ...
more infohttps://bmchealthservres.biomedcentral.com.preview-live.oscarjournals.springer.com/articles/10.1186/1472-6963-13-89
Effect of Patients Reasons for Refusing Treatment on Implementing Psychiatric Advance Directives  Effect of Patients' Reasons for Refusing Treatment on Implementing Psychiatric Advance Directives
Medication Preferences and Adherence Among Individuals With Severe Mental Illness and Psychiatric Advance Directives  Wilder, ... Facilitated Psychiatric Advance Directives: A Randomized Trial of an Intervention to Foster Advance Treatment Planning Among ... Overriding Psychiatric Advance Directives: Factors Associated With Psychiatrists' Decisions to Preempt Patients' Advance ... Advance Directives; Patients; Neurosciences and Mental Health Therapies; Third Party Consent; Right to Refuse Treatment; ...
more infohttps://repository.library.georgetown.edu/handle/10822/962250
Pediatric Critical Care (PICU) | Central Michigan University  Pediatric Critical Care (PICU) | Central Michigan University
Demonstrate effective communication skills when developing and carry out advance directives, facilitating family meetings, ... patient/family education, eliciting the patient's illness story, cross-cultural skills and facilitating treatment adherence. ...
more infohttps://www.cmich.edu/colleges/cmed/Education/MDProgram/OME/ElectivesCatalog/Critical%20Care/Pages/Pediatric-Critical-Care.aspx
Treatment escalation in the intensive care unit among patients with preexisting treatment limitations: best-laid plans gone...  Treatment escalation in the intensive care unit among patients with preexisting treatment limitations: best-laid plans gone...
Advance Directive Adherence/statistics & numerical data*. *Advance Directives/statistics & numerical data*. *Cardiopulmonary ...
more infohttps://www.ncbi.nlm.nih.gov/pubmed/25821922
medfash.org.uk  medfash.org.uk
70 adherence 70, 73, 93t advance directives 77 aphthous ulceration 36, 94t african communities 19, 82-83 areas of high ... In the UK, living wills or advance directives were largely developed by and for people with aIDS, though they are now used more ... adherence to a long-term drug regimen is one of the biggest challenges to Adherence is essential those who live with HIV as ... adherence support and management of other co-morbidities.. Children's HIV Association of the UK and Ireland (CHIVA). www.chiva. ...
more infohttp://eddoctor24h.com/m/medfash.org.uk1.html
PATIENT RESPONSE: Giving Voice to the Patient - Health Works Collective  PATIENT RESPONSE: Giving Voice to the Patient - Health Works Collective
5. Advance care planning. Advance directives are another form of a patient response. By implementing advance directives using ... Without learning why a patient is not taking a prescribed drug, a clinician has little chance of achieving adherence. Patient ... Pre-visit summaries are patient responses to a set of questions sent to a patient in advance of a visit. The questions are ... Advancing Technologies in the Treatment of Sleep Disorders. Jennifer E. Landis - March 8, 2018 ...
more infohttps://www.healthworkscollective.com/patient-response-giving-voice-patient/
Health Literacy Interventions and Outcomes: An Update of the Literacy and Health Outcomes Systematic Review of the Literature |...  Health Literacy Interventions and Outcomes: An Update of the Literacy and Health Outcomes Systematic Review of the Literature |...
2007). "An advance directive redesigned to meet the literacy level of most adults: a randomized trial." Patient Educ Couns 69(1 ... Adherence: Adherence is the ability to stick with a health behavior and is important predictor of health outcomes. ... 2007). "Developing a parsimonious model for predicting completion of advance directives." J Nurs Scholarsh 39(2): 165-71. ... 2005). "Effects of a treatment adherence enhancement program on health literacy, patient-provider relationships, and adherence ...
more infohttps://effectivehealthcare.ahrq.gov/topics/health-literacy/research-protocol
Little Pharmacy: Cialis precio en mexico from reliable suppliers!  Little Pharmacy: Cialis precio en mexico from reliable suppliers!
Grant RL, Piotto L: Benets of Adopting Standardized ICS There are four major types of advance directives. Parenteral nutrition ... Ultrasound allows for SMR staging, recognition of the anal sphincter tone, overfeeding, or poor adherence to the Acutely Ill ...
more infohttp://goswap.org/guides/?order=cialis-precio-en-mexico
Common Sense Family Doctor: 2011  Common Sense Family Doctor: 2011
Additional resources for physicians and patients on advanced directives, hospice care, and ethical issues are available in the ... adherence to evidence-based guidelines is a panacea for improving care outcomes; and 2) preparing meticulous "advanced ... Family docs can learn a lot from how other specialties have advanced the interests of their patients by advancing their ... Luckily, palliative care - care that brings comfort, company, and spiritual and emotional support to people with advanced ...
more infohttp://commonsensemd.blogspot.com/2011/
Bioethics Discussion Blog: February 2007  Bioethics Discussion Blog: February 2007
Improved communication may also increase the use of advanced directives.. Honoring culturally appropriate requests for truth ... Spiritual support, encouraging and respecting prayer and adherence to cultural traditions, which help many patients and ... If the person had an advance directive or power of attorney for health care instrument the matter would be easy to solve -- ... Advanced life support, early resuscitation at the time of injury and the ability to prevent the cessation of respiration has ...
more infohttp://bioethicsdiscussion.blogspot.com/2007_02_01_archive.html
  • About one third of the responders reported having had no experience with advance directives and only 9 directors of intensive care units had dealt with more than 10 advance directives in the previous two years. (biomedcentral.com)
  • Advances in therapeutic and technical possibilities further narrow the already thin line between sustaining life and prolonging the process of dying in the intensive care unit (ICU). (biomedcentral.com)
  • Advances in medical care and technology have blurred the boundaries between life-and-death and have challenged our expectations about how Americans should experience the end of life. (hhs.gov)
  • The purpose of this paper is to review the theoretical constructs behind nurse-driven protocols, the evidence supporting clinical scoring systems, and how the integration of the two form Advanced Nursing Directives (ANDs), which have the potential to significantly improve patient care outcomes, administrative metrics, and overall patient and caregiver satisfaction for children presenting to the ED. (hindawi.com)
  • The process of developing a clinical pathway for children presenting to our pediatric emergency department (PED) with suspected appendicitis will be used to demonstrate the successful integration of validated clinical scoring systems into practice through the use of Advanced Nursing Directives. (hindawi.com)
  • We review the current literature on nurse-initiated protocols, validated emergency department clinical scoring systems, and the merging of the two to create Advanced Nursing Directives (ANDs). (hindawi.com)