advance directives

Summary

Summary: 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)

Top Publications

  1. ncbi Systematic implementation of an advance directive program in nursing homes: a randomized controlled trial
    D W Molloy
    Department of Medicine, McMaster University, Ontario, Canada
    JAMA 283:1437-44. 2000
  2. ncbi Engagement in multiple steps of the advance care planning process: a descriptive study of diverse older adults
    Rebecca L Sudore
    Division of Geriatrics, University of California at San Franciso, and San Francisco Veterans Affairs Medical Center, San Francisco, California 94121, USA
    J Am Geriatr Soc 56:1006-13. 2008
  3. ncbi Advance end-of-life treatment planning. A research review
    S H Miles
    Center for Biomedical Ethics, University of Minnesota, Minneapolis, USA
    Arch Intern Med 156:1062-8. 1996
  4. ncbi Compliance with and understanding of advance directives among trainee doctors in the United Kingdom
    Claire A Stark Toller
    Sir Michael Sobell House, Oxford, England, UK
    J Palliat Care 22:141-6. 2006
  5. ncbi The accuracy of surrogate decision makers: a systematic review
    David I Shalowitz
    Department of Clinical Bioethics, National Institutes of Health, Bethesda, MD 20892, USA
    Arch Intern Med 166:493-7. 2006
  6. ncbi Communicating advance directives from long-term care facilities to emergency departments
    M A Pauls
    Department of Emergency Medicine, Queen Elizabeth II Health Science Centre and Department of Emergency Medicine, Dalhousie University, 1796 Summer Street, Halifax, Nova Scotia, Canada B3H 3A7
    J Emerg Med 21:83-9. 2001
  7. ncbi Health professionals' views on advance directives: a qualitative interdisciplinary study
    Trevor D B Thompson
    Division of Primary Health Care, University of Bristol, Bristol, UK
    Palliat Med 17:403-9. 2003
  8. ncbi Factors influencing older adults to complete advance directives
    Gloria J Alano
    North Shore Long Island Jewish Health System, New Hyde Park, New York 11040, USA
    Palliat Support Care 8:267-75. 2010
  9. ncbi Controlling death: the false promise of advance directives
    Henry S Perkins
    Ecumenical Center for Religion and Health and Division of General Medicine, Department of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229 3900, USA
    Ann Intern Med 147:51-7. 2007
  10. ncbi Advance health care directives: towards a coordinated European policy?
    Roberto Andorno
    Institute of Biomedical Ethics, University of Zurich, Zurich, Switzerland
    Eur J Health Law 16:207-27. 2009

Detail Information

Publications352 found, 100 shown here

  1. ncbi Systematic implementation of an advance directive program in nursing homes: a randomized controlled trial
    D W Molloy
    Department of Medicine, McMaster University, Ontario, Canada
    JAMA 283:1437-44. 2000
    Although advance directives are commonly used in the community, little is known about the effects of their systematic implementation.
  2. ncbi Engagement in multiple steps of the advance care planning process: a descriptive study of diverse older adults
    Rebecca L Sudore
    Division of Geriatrics, University of California at San Franciso, and San Francisco Veterans Affairs Medical Center, San Francisco, California 94121, USA
    J Am Geriatr Soc 56:1006-13. 2008
    ..To assess engagement in multiple steps of the advance care planning (ACP) process 6 months after exposure to an advance directive. In this study, ACP is conceptualized similarly to the behavior change model...
  3. ncbi Advance end-of-life treatment planning. A research review
    S H Miles
    Center for Biomedical Ethics, University of Minnesota, Minneapolis, USA
    Arch Intern Med 156:1062-8. 1996
    ..Self-Determination Act required hospitals, nursing homes, and health plans to ask whether patients have advance directives and to incorporate them into the medical record...
  4. ncbi Compliance with and understanding of advance directives among trainee doctors in the United Kingdom
    Claire A Stark Toller
    Sir Michael Sobell House, Oxford, England, UK
    J Palliat Care 22:141-6. 2006
    To investigate doctors' response to and understanding of the legal status of advance directives.
  5. ncbi The accuracy of surrogate decision makers: a systematic review
    David I Shalowitz
    Department of Clinical Bioethics, National Institutes of Health, Bethesda, MD 20892, USA
    Arch Intern Med 166:493-7. 2006
    ..However, commentators have questioned the accuracy with which surrogates predict patients' treatment preferences...
  6. ncbi Communicating advance directives from long-term care facilities to emergency departments
    M A Pauls
    Department of Emergency Medicine, Queen Elizabeth II Health Science Centre and Department of Emergency Medicine, Dalhousie University, 1796 Summer Street, Halifax, Nova Scotia, Canada B3H 3A7
    J Emerg Med 21:83-9. 2001
    Many residents of long-term care (LTC) facilities are transferred to Emergency Departments without advance directives (AD)...
  7. ncbi Health professionals' views on advance directives: a qualitative interdisciplinary study
    Trevor D B Thompson
    Division of Primary Health Care, University of Bristol, Bristol, UK
    Palliat Med 17:403-9. 2003
    The aim of this study was to discover the views of health professionals in the Greater Glasgow area on advance directives, using semi-structured interviews and focus groups...
  8. ncbi Factors influencing older adults to complete advance directives
    Gloria J Alano
    North Shore Long Island Jewish Health System, New Hyde Park, New York 11040, USA
    Palliat Support Care 8:267-75. 2010
    ..The purpose of this study was to determine the factors which influence advance directive (AD) completion among older adults...
  9. ncbi Controlling death: the false promise of advance directives
    Henry S Perkins
    Ecumenical Center for Religion and Health and Division of General Medicine, Department of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229 3900, USA
    Ann Intern Med 147:51-7. 2007
    b>Advance directives promise patients a say in their future care but actually have had little effect. Many experts blame problems with completion and implementation, but the advance directive concept itself may be fundamentally flawed...
  10. ncbi Advance health care directives: towards a coordinated European policy?
    Roberto Andorno
    Institute of Biomedical Ethics, University of Zurich, Zurich, Switzerland
    Eur J Health Law 16:207-27. 2009
    ..Second, it offers a comparative analysis of the legal status of advance directives in a number of European countries...
  11. ncbi Advance directives in dementia: issues of validity and effectiveness
    Marike E De Boer
    Department of Nursing Home Medicine, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands
    Int Psychogeriatr 22:201-8. 2010
    Although advance directives may seem useful instruments in decision-making regarding incompetent patients, their validity in cases of dementia has been a much debated subject and little is known about their effectiveness in practice...
  12. ncbi Patients' understanding of advance directives and cardiopulmonary resuscitation
    Natalya Thorevska
    Pulmonary and Critical Care, Bridgeport Hospital and Yale University School of Medicine, Bridgeport, CT 06610, USA
    J Crit Care 20:26-34. 2005
    To describe understanding of end-of-life issues and compare characteristics of patients with and without advance directives.
  13. pmc Understanding advance care planning as a process of health behavior change
    Terri R Fried
    Department of Medicine, School of Medicine, Yale University, New Haven, Connecticut, USA
    J Am Geriatr Soc 57:1547-55. 2009
    ..To explore whether models of health behavior change can help to inform interventions for advance care planning (ACP)...
  14. ncbi A new law on advance directives in Germany
    U Wiesing
    Institut für Ethik und Geschichte der Medizin, Universitat Tubingen, Gartenstr 47, D 72076 Tubingen, Germany
    J Med Ethics 36:779-83. 2010
    This article presents the new German law on advance directives from 1 September 2009...
  15. pmc Medication preferences and adherence among individuals with severe mental illness and psychiatric advance directives
    Christine M Wilder
    Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Box 3071, Durham, NC 27710, USA
    Psychiatr Serv 61:380-5. 2010
    Psychiatric advance directives allow patients with severe mental illness to document their preferences for particular medications...
  16. ncbi Impact of an inpatient palliative care team: a randomized control trial
    Glenn Gade
    Department of Internal Medicine, Denver, Colorado, USA
    J Palliat Med 11:180-90. 2008
    ..There have been no multicenter randomized trials examining impact on patient satisfaction, clinical outcomes, and subsequent health care costs...
  17. ncbi Assessing the effectiveness of interventions to promote advance directives among older adults: a systematic review and multi-level analysis
    Gina Bravo
    Sherbrooke University, Geriatric Institute, Sherbrooke, PQ, Canada
    Soc Sci Med 67:1122-32. 2008
    Many studies have investigated the effectiveness of interventions in promoting advance directives (ADs) but there is uncertainty as to what works best, and in whom...
  18. pmc Surrogate consent for dementia research: a national survey of older Americans
    S Y H Kim
    Bioethics Program, University of Michigan, Ann Arbor, MI 48109, USA
    Neurology 72:149-55. 2009
    ..Because AD impairs decisional capacity, informed consent often must come from surrogates, usually close family members. But policies for surrogate consent for research remain unsettled after decades of debate...
  19. ncbi How do-not-resuscitate orders are utilized in cancer patients: timing relative to death and communication-training implications
    Tomer T Levin
    Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York 10022, USA
    Palliat Support Care 6:341-8. 2008
    ..Despite this, there is little DNR utilization data to guide the design of communication-training programs. The objective of this study was to determine DNR utilization patterns and whether their use is increasing...
  20. ncbi Advance care planning: pitfalls, progress, promise
    T J Prendergast
    Dartmouth Medical School, Pulmonary Section (3D, Lebanon, NH, USA
    Crit Care Med 29:N34-9. 2001
    We now have a decade of experience with advance directives since the Patient Self-Determination Act was signed into law in November 1990. With few exceptions, empirical studies have yielded disappointing results...
  21. ncbi Promoting advance directives among African Americans: a faith-based model
    Karen Bullock
    School of Social Work, University of Connecticut, West Hartford, Connecticut 06117, and The Braceland Center for Mental Health and Aging, Institute of Living, Hartford Hospital, Hartford, Connecticut, USA
    J Palliat Med 9:183-95. 2006
    Studies show that African Americans are less likely than other ethnic groups to complete advance directives. However, what influences African Americans' decisions to complete or not complete advance directives is unclear.
  22. pmc Effect of joint crisis plans on use of compulsory treatment in psychiatry: single blind randomised controlled trial
    Claire Henderson
    Health Services Research Department, Institute of Psychiatry, King s College London, London SE5 8AF
    BMJ 329:136. 2004
    ..To investigate whether a form of advance agreement for people with severe mental illness can reduce the use of inpatient services and compulsory admission or treatment...
  23. ncbi Approaching the end of life: attitudes, preferences, and behaviors of African-American and white patients and their family caregivers
    Etienne Phipps
    Albert Einstein Healthcare Network, Philadelphia, PA 19144, USA
    J Clin Oncol 21:549-54. 2003
    ..To investigate differences in attitudes, preferences, and behaviors regarding end of life in terminally ill patients and their designated family caregivers...
  24. pmc End-of-life hospital costs in cancer patients: do advance directives or routes of hospital admission make a difference?
    Tow S Tan
    Department of Oncology, Mayo Clinic, Rochester, Minn, USA
    Oncology 80:118-22. 2011
    End-of-life cancer care is costly. The current study explored whether advance directives or route of hospital admission reduced cancer patients' terminal hospitalization costs.
  25. ncbi Assessing advance directives in the homebound elderly
    Adam G Golden
    Geriatric Research, Education, and Clinical Center, Miami VA Healthcare System, 1201 NW 16th Street, Miami, FL 33125, USA
    Am J Hosp Palliat Care 26:13-7. 2009
    We studied the prevalence of specific barriers that prevent indigent homebound older adults from obtaining advance directives and tested the effectiveness of clinical reminders for lowering the number of clients without advance directives...
  26. ncbi The content and clinical utility of psychiatric advance directives
    Debra S Srebnik
    Department of Psychiatry and Behavioral Sciences, University of Washington, 325 Ninth Avenue, Seattle, WA 98104, USA
    Psychiatr Serv 56:592-8. 2005
    This paper provides the first systematic examination of the content and clinical utility of psychiatric advance directives, which are documents that specify treatment preferences in advance of periods of compromised decision making.
  27. ncbi Views of potential subjects toward proposed regulations for clinical research with adults unable to consent
    Dave Wendler
    Department of Clinical Bioethics, Warren G Magnuson Clinical Center, National Institutes of Health, Bethesda, MD 20892 1156, USA
    Am J Psychiatry 159:585-91. 2002
    ..The authors' goal was to assess healthy individuals' attitudes toward five of the most prominent proposed safeguards regarding the consent process for research with adults unable to consent...
  28. ncbi A typology of advance statements in mental health care
    Claire Henderson
    Department of Veterans Affairs Medical Center, Mental Illness Research, Education and Clinical Centers, Bronx, NY 10468, USA
    Psychiatr Serv 59:63-71. 2008
    ..joint crisis plans, crisis cards, treatment plans, wellness recovery action plans, and psychiatric advance directives (with and without formal facilitation)...
  29. ncbi Advance directives for health care and research: prevalence and correlates
    Gina Bravo
    Department of Community Health Sciences, Faculty of Medicine, University of Sherbrooke, Sherbrooke, Quebec J1H 4C4, Canada
    Alzheimer Dis Assoc Disord 17:215-22. 2003
    ..b>Advance directives have been widely promoted as a means to maintain some control over one's life in the event of decisional ..
  30. ncbi The law and practice associated with advance directives in Canada and Australia: similarities, differences and debates
    Margaret Brown
    Hawke Institute, University of South Australia, Magill, SA 5072, Australia
    J Law Med 11:59-76. 2003
    ..is a summary of research that investigated the Canadian and Australian legislative framework associated with advance directives in health care...
  31. ncbi Advance directives in Spain. Perspectives from a medical bioethicist approach
    Pablo Simon-Lorda
    University of Santiago de Compostela, Spain
    Bioethics 22:346-54. 2008
    ..Article 11 of Law 41/2002, concerning Patient Autonomy, regulates 'advance directives' and has prompted various Autonomous Regions to develop legislation in this area...
  32. ncbi The minimally conscious state and treatment withdrawal: W v M
    Emily Jackson
    Department of Law, London School of Economics, London WC2A 2AE, UK
    J Med Ethics 39:559-61. 2013
    ..This short comment on the Court of Protection decision in W v M draws attention to the primacy the judge gave to the preservation of life and discusses the relative lack of weight accorded to M's previously expressed views. ..
  33. pmc Acculturation of attitudes toward end-of-life care: a cross-cultural survey of Japanese Americans and Japanese
    Shinji Matsumura
    Division of General Internal Medicine and Health Services, University of California Los Angeles, Los Angeles, Calif 90095 1736, USA
    J Gen Intern Med 17:531-9. 2002
    ..However, little is known about how and to what extent acculturation changes attitudes toward end-of-life care and advance care planning. We compared attitudes toward end-of-life care among Japanese Americans and Japanese in Japan...
  34. ncbi Views of service users and providers on joint crisis plans: single blind randomized controlled trial
    Claire Henderson
    P029, Health Service and Population Research Dept, Institute of Psychiatry, King s College London, De Crespigny Park, London SE5 8AF UK
    Soc Psychiatry Psychiatr Epidemiol 44:369-76. 2009
    ..We report participants' and case managers' use of and views on the value of Joint Crisis Plans (JCPs), shown to reduce compulsory hospitalisation and violence...
  35. ncbi Reconceptualizing advance care planning from the patient's perspective
    P A Singer
    University of Toronto Joint Centre for Bioethics, Department of Medicine, University of Toronto and Toronto Hospital, Ontario, Canada
    Arch Intern Med 158:879-84. 1998
    ..These assumptions about ACP have never been empirically validated...
  36. ncbi Psychiatric advance directives: the new frontier in mental health law reform in Australia?
    Tony Bogdanoski
    University of Sydney
    J Law Med 16:891-904. 2009
    The legal recognition of psychiatric advance directives is arguably at the forefront of human rights-based mental health law reform in Australia. However, academic discourse in Australia has largely neglected this important development...
  37. ncbi Doctor-patient communication about advance directives in metastatic breast cancer
    Elissa M Ozanne
    Institute for Technology Assessment, Massachusetts General Hospital, Boston, USA
    J Palliat Med 12:547-53. 2009
    ..This study examined whether or not patients with metastatic breast cancer had advance directives, and if so, with whom they discussed written plans for end-of-life decisions.
  38. ncbi Patient perceptions on the use of advance directives and life prolonging technology
    John M Clements
    Department of Research, Synergy Medical Education Alliance, Michigan State University College of Human Medicine, Saginaw, Michigan 48602, USA
    Am J Hosp Palliat Care 26:270-6. 2009
    Use of advance directives is underutilized despite the Patient Self Determination Act of 1990. This study was undertaken to determine use and opinions of advance directives by patients at a multidisciplinary.
  39. ncbi Physician attitudes regarding advance directives for high-risk surgical patients: a qualitative analysis
    Ciaran T Bradley
    The Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
    Surgery 148:209-16. 2010
    ..A qualitative exploration of physicians' opinions of ADs for surgical patients was designed. This methodology is preferred to quantitative techniques, which are subject to bias when an issue's underlying themes are unknown...
  40. ncbi Advance directives for mental health treatment
    D S Srebnik
    Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle 98104, USA
    Psychiatr Serv 50:919-25. 1999
    b>Advance directives are designed to establish a person's preferences for treatment if the person becomes incompetent in the future or unable to communicate those preferences to treatment providers...
  41. ncbi Advance directives are more likely among seniors asked about end-of-life care preferences
    N P Gordon
    Division of Research, Kaiser Permanente Medical Care Program, Oakland, Calif 94611, USA
    Arch Intern Med 159:701-4. 1999
    ..To examine the association of having had an EOLCP discussion and AD completion...
  42. pmc Role of written advance directives in decision making: insights from qualitative and quantitative data
    J M Teno
    Center for Gerontology and Health Care Research, Brown University, Providence, RI 02912, USA
    J Gen Intern Med 13:439-46. 1998
    OBJECTIVE: To understand the role of written advance directives (ADs) in medical decision making through examination of qualitative and quantitative data sources...
  43. ncbi Advance directives: limitations to completion
    Denise Hinders
    University of Cincinnati, Cincinnati, OH, USA
    Am J Hosp Palliat Care 29:286-9. 2012
    ..9 million, yet fewer than 30% of Americans have advance directives in place...
  44. ncbi Would they follow what has been laid down? Cancer patients' and healthy controls' views on adherence to advance directives compared to medical staff
    S Sahm
    Department of Gastroenterology Oncology, German Clinic of Diagnosis Deutsche Klinik für Diagnostik, Aukammallee 33, 65 191, Wiesbaden, Germany
    Med Health Care Philos 8:297-305. 2005
    b>Advance directives are propagated as instruments to maintain patients' autonomy in case they can no longer decide for themselves...
  45. ncbi Association between advance directives and quality of end-of-life care: a national study
    Joan M Teno
    Center for Gerontology and Health Care Research, Brown Medical School, Providence, Rhode Island, USA
    J Am Geriatr Soc 55:189-94. 2007
    To examine the role of advance directives (ADs) 10 years after the Patient Self-Determination Act.
  46. ncbi An exploration of decision-making factors regarding advance directives in a long-term care facility
    Carol White
    J Am Acad Nurse Pract 17:14-20. 2005
    ..To explore the experiences of residents who had signed an advance directive on admission to a long-term care facility and apply the Advance Directive Decision-Making Model to this process...
  47. pmc The influence of default options on the expression of end-of-life treatment preferences in advance directives
    Laura M Kressel
    Department of Psychology, New York University, 6 Washington Place, New York, NY 10003, USA
    J Gen Intern Med 22:1007-10. 2007
    b>Advance directives promise to preserve patient autonomy, but research indicates that end-of-life preferences can be influenced by the way in which questions are posed.
  48. ncbi Should we respect precedent autonomy in life-sustaining treatment decisions?
    Julian C Sheather
    Ethics Department, British Medical Association, London WC1H 9JP, UK
    J Med Ethics 39:547-50. 2013
    ..These decisions raise difficult questions about personal identity and about the threshold of evidence that is required of an earlier decision in order for it to be respected. ..
  49. ncbi Advance directives, best interests and clinical judgement: shifting sands at the end of life
    Ash Samanta
    University Hospitals of Leicester NHS Trust
    Clin Med 6:274-8. 2006
    ..Act 2005 (expected to come into force in 2007) provides a statutory framework for the law relating to advance directives, capacity and best interests...
  50. ncbi Advance directives
    S Walton
    Anaesthesia 62:412-3; author reply 413. 2007
  51. ncbi Using a hypothetical scenario to inform psychiatric advance directives
    Aricca D Van Citters
    Dartmouth Psychiatric Research Center, Dartmouth Medical School, Lebanon, NH, USA
    Psychiatr Serv 58:1467-71. 2007
    ..The study addressed whether a hypothetical psychiatric scenario is a feasible approach for eliciting psychiatric treatment preferences and identified consumer preferences regarding involuntary care...
  52. ncbi A critical review of advance directives in Germany: attitudes, use and healthcare professionals' compliance
    Natalie Evans
    Barcelona Centre for International Health Research CRESIB, Hospital Clínic Universitat de Barcelona, Barcelona, Spain
    Patient Educ Couns 87:277-88. 2012
    Recent legal changes in Germany make non-compliance with advance directives (ADs) a criminal offence. This article assesses the evidence on attitudes towards, use of, and physician compliance with ADs in Germany.
  53. ncbi Psychiatric advance directives: qualitative study of informed deliberations by mental health service users
    Michaela Amering
    Departmernt of Psychiatry, University of Vienna, Vienna, Austria
    Br J Psychiatry 186:247-52. 2005
    Established legal mandates and high expectations for psychiatric advance directives are not matched by empirical evidence documenting their actual implementation.
  54. ncbi Physician orders to supplement advance directives: rescuing patient autonomy
    Ronald B Miller
    Department of Medicine, School of Medicine, College of Health Sciences, University of California, Irvine, USA
    J Clin Ethics 20:212-9. 2009
    ..but physicians' orders about life-sustaining treatments are a very important supplement to advance directives, especially for patients who are extremely or terminally ill, and most particularly for patients who require ..
  55. ncbi Empirical assessment of a research advance directive for persons with dementia and their proxies
    Carol B Stocking
    Section of Geriatrics, Department of Medicine, University of Chicago, Chicago, Illinois 60637, USA
    J Am Geriatr Soc 55:1609-12. 2007
    ..To evaluate a research advance directive for persons with established dementia diagnoses and their family caregivers or proxies...
  56. ncbi Implementation of advance directives among community-dwelling veterans
    D W Molloy
    Geriatric Research Group, Hamilton Health Sciences Corporation, Ontario, Canada
    Gerontologist 40:213-7. 2000
    ..This response pattern was consistent among those who completed and those who did not complete directives...
  57. ncbi Advance directives for euthanasia in dementia: do law-based opportunities lead to more euthanasia?
    Marike E De Boer
    Department of Nursing Home Medicine, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
    Health Policy 98:256-62. 2010
    To obtain insight into current practices regarding compliance with advance directives for euthanasia (ADEs) in cases of incompetent patients with dementia in Dutch nursing homes, in light of the legal possibility offered by the new ..
  58. ncbi Patients' attitudes toward advance directives
    Rebecca Douglas
    Brooke Army Medical Center, San Antonio, TX, USA
    J Nurs Scholarsh 34:61-5. 2002
    To explore hospitalized patients' attitudes toward advance directives, their reasons for completing or not completing advance directive forms, and demographic differences between patients who did and did not complete advance directive ..
  59. ncbi Advance directives: older adults with dementia
    M D Mezey
    The Hartford Institute for Geriatric Nursing, Division of Nursing, New York University, New York, New York 10012 1165, USA
    Clin Geriatr Med 16:255-68. 2000
    The benefits and risks for older adults with dementia executing advance directives are discussed...
  60. ncbi Advance directives: legal remedies and psychosocial interventions
    V Lens
    Wurzweiler School of Social Work, Yeshiva University, New York, USA
    Death Stud 24:377-99. 2000
    ..Implications for practice are discussed, including practical suggestions for increasing the likelihood that a patient's wishes will be respected by medical providers...
  61. ncbi Difficult end-of-life treatment decisions: do other factors trump advance directives?
    Steven B Hardin
    Jerry L Pettis Memorial Veterans Affairs Medical Center and the Department of Internal Medicine, Loma Linda University School of Medicine, CA 92357, USA
    Arch Intern Med 164:1531-3. 2004
    b>Advance directives are widely promoted as a means to plan for patients' decisional incapacity, yet there is little evidence of their effectiveness...
  62. ncbi Ethical issues of cardiopulmonary resuscitation: comparison of emergency physician practices from 1995 to 2007
    Catherine A Marco
    University of Toledo College of Medicine, Toledo, OH, USA
    Acad Emerg Med 16:270-3. 2009
    ....
  63. ncbi Research advance directives: protection or obstacle?
    Palaniappan Muthappan
    Department of Clinical Bioethics, NIH, Bldg 10, Rm 1C118, Bethesda, MD 20892, USA
    Am J Psychiatry 162:2389-91. 2005
    ..This study assessed how many adults completed a research advance directive and the preferences indicated on the completed forms...
  64. pmc Attitudes towards and barriers to writing advance directives amongst cancer patients, healthy controls, and medical staff
    S Sahm
    Department of Gastroenterology Oncology, German Clinic of Diagnosis, Aukammallee 33, 65191 Wiesbaden, Germany
    J Med Ethics 31:437-40. 2005
    ..We investigated knowledge about and willingness to accept such a directive in cancer patients, healthy controls, physicians, and nursing staff in Germany...
  65. ncbi Advance directives and living wills
    Laura Palazzani
    Libera Università Maria SS Assunta LUMSA, Rome, Italy
    NeuroRehabilitation 19:305-13. 2004
    The article focuses on the philosophical, ethical and juridical problems concerning Advance directives and Living Wills (underlining analogies and differences)...
  66. ncbi Communication between older people and their health care agents: results of an intervention
    Irene A Gutheil
    Ravazzin Center for Social Work Research in Aging, Graduate School of Social Service, Fordham University, Tarrytown, NY 10591, USA
    Health Soc Work 30:107-16. 2005
    ..The findings demonstrate that it is possible to affect advance communication about wishes at the end of life through a group intervention...
  67. ncbi Kokua Mau: a statewide effort to improve end-of-life care
    Kathryn L Braun
    Center on Aging, University of Hawaii, 1960 East West Road, Biomed C 106, Honolulu, HI 96922, USA
    J Palliat Med 8:313-23. 2005
    Many Americans die in pain, without hospice, and without regard to advance directives, suggesting a need to improve end-of-life (EOL) awareness and services.
  68. ncbi Measuring patient treatment preferences in end-of-life care research: applications for advance care planning interventions and response shift research
    Carolyn E Schwartz
    QualityMetric Incorporated, Lincoln, Rhode Island, USA
    J Palliat Med 7:233-45. 2004
    ..Clinical applications of the tool are discussed...
  69. ncbi A changing landscape for advance directives in dementia research
    Robin Pierce
    University of Oxford, Ethics Wellcome Trust Centre for Neuroethics, 16 17 St Ebbe s Street, Oxford, England
    Soc Sci Med 70:623-30. 2010
    ....
  70. ncbi Advance directives in dementia care: from instructions to instruments
    G A Widdershoven
    Department of Health Ethics and Philosophy, University of Maastricht, P O Box 616, 6200 AT, Maastricht, The Netherlands
    Patient Educ Couns 44:179-86. 2001
    b>Advance directives are often regarded as instructions to the doctor about future care...
  71. ncbi Advance directives for euthanasia in dementia: how do they affect resident care in Dutch nursing homes? Experiences of physicians and relatives
    Marike E De Boer
    Department of Nursing Home Medicine, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands
    J Am Geriatr Soc 59:989-96. 2011
    To gain insight into how advance directives for euthanasia affect resident care in Dutch nursing homes.
  72. ncbi Managing aggression and violence using rapid tranquillisation
    Tommy Dickinson
    School of Nursing and Caring Sciences, Mental Health Division, University of Central Lancashire, Preston
    Nurs Stand 24:40-49; quiz 50, 52. 2009
    ..The procedure is outlined and the importance of patient monitoring to observe for possible adverse effects is discussed. The legal and ethical issues are examined, along with guidance on the use of advance directives.
  73. ncbi Interventions to promote the use of advance directives: an overview of systematic reviews
    Maria Isabel Tamayo-Velázquez
    Andalusian School of Public Health, Granada, Spain
    Patient Educ Couns 80:10-20. 2010
    ..To identify, appraise and synthesise the results of systematic reviews of the literature (SRLs) that examines the effectiveness of interventions to increase advance directive (AD) completion rate...
  74. pmc The cultural context of patient's autonomy and doctor's duty: passive euthanasia and advance directives in Germany and Israel
    Silke Schicktanz
    Department of Medical Ethics and History of Medicine, University Medical Center Gottingen, Gottingen, Germany
    Med Health Care Philos 13:363-9. 2010
    ..the cultural reasons for this difference and its expression in various dissenting views on passive euthanasia and advance directives, and conclude with a comment on the difficulty in classifying either stance as more or less restrictive.
  75. ncbi When family members disagree
    Edmund G Howe
    Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
    J Clin Ethics 18:331-9. 2007
  76. pmc Incidence and predictors of advance care planning among persons with cognitive impairment
    Linda Garand
    Department of Health and Community Systems, University of Pittsburgh, PA 15261, USA
    Am J Geriatr Psychiatry 19:712-20. 2011
    ..We sought to characterize advance care planning (ACP) rates over time in individuals who had no advance directives (living will or durable power of attorney) in place when they initially presented for a cognitive evaluation.
  77. ncbi Are Canadians providing advance directives about health care and research participation in the event of decisional incapacity?
    Gina Bravo
    Department of Community Health Sciences, University of Sherbrooke, Sherbrooke, Quebec
    Can J Psychiatry 56:209-18. 2011
    ..We conducted a postal survey to estimate the frequency with which Canadians communicate their preferences about health care and research should they become incapacitated...
  78. ncbi Use of advance directives for high-risk operations: a national survey of surgeons
    Andrew J Redmann
    University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
    Ann Surg 255:418-23. 2012
    ..To characterize surgeons' beliefs and approach to the use of an advance directive in the decision to perform high-risk operations...
  79. ncbi Withdrawal of life support: intensive caring at the end of life
    Thomas J Prendergast
    Departments of Medicine and Anesthesiology, Dartmouth Hitchcock Medical Center, Section of Pulmonary and Critical Care Medicine 3D, 1 Medical Center Dr, Lebanon, NH 03756, USA
    JAMA 288:2732-40. 2002
    ..This shift from individual responsibility to patient-focused consensus often permits the family to understand, perhaps reluctantly and with great sadness, that intensive caring may involve letting go of life-sustaining interventions...
  80. ncbi Exploratory study on end-of-life issues: barriers to palliative care and advance directives
    Veronica D Feeg
    College of Nursing and Health Science, George Mason University, Fairfax, Virginia, USA
    Am J Hosp Palliat Care 22:119-24. 2005
    ..Professionals who serve dying patients need to recognize the importance of advance directives as part of a patient's decision to forgo curative treatment for palliative care.
  81. pmc Stages of change for the component behaviors of advance care planning
    Terri R Fried
    Department of Medicine, School of Medicine, Yale University, New Haven, Connecticut, USA
    J Am Geriatr Soc 58:2329-36. 2010
    ....
  82. ncbi End-of-life care across Southern Europe: a critical review of cultural similarities and differences between Italy, Spain and Portugal
    Arantza Meñaca
    Barcelona Centre for International Health Research CRESIB Hospital Clínic Universitat de Barcelona, Rosselló 132, S A 1, Barcelona 08036, Spain
    Crit Rev Oncol Hematol 82:387-401. 2012
    ..at home than actually died at home, a persistent trend for partial disclosure in Italy and Spain, low use of advance directives, and low incidence of all medical EoL decisions (with the exception of terminal sedation) compared to ..
  83. pmc Inapplicability of advance directives in a paternalistic setting: the case of a post-communist health system
    Gentian Vyshka
    Biomedical and Experimental Department, Faculty of Medicine, Tirana, Albania
    BMC Med Ethics 12:12. 2011
    ..Because of this history, advance directives concerning treatment refusal and do-not-resuscitate decisions are still extremely uncommon in Albania...
  84. pmc Design of the Advance Directives Cohort: a study of end-of-life decision-making focusing on Advance Directives
    Matthijs P S van Wijmen
    Department Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, Amsterdam, 1081 BT, The Netherlands
    BMC Public Health 10:166. 2010
    ..There is still a lot unclear about ADs. We designed a study aimed at investigating the whole process from the formulating of an AD to its actual use at the end of life...
  85. pmc Competence to complete psychiatric advance directives: effects of facilitated decision making
    Eric B Elbogen
    Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Brightleaf Square Suite 23 A, 905 West Main Street, DUMC Box 3071, Durham, NC 27710, USA
    Law Hum Behav 31:275-89. 2007
    Psychiatric advance directives (PADs) statutes presume competence to complete these documents, but the range and dimensions of decisional competence among people who actually complete PADs is unknown...
  86. ncbi [On a principal of advance directives]
    Hiroaki Ito
    Dept of Neurology, Niigata National Hospital
    Gan To Kagaku Ryoho 36:66-8. 2009
    We explored a principle of advance directives. Advanced directives are a tool to help execute a broader concept of advance care planning, which is included in advance life planning...
  87. ncbi Advance directives and end-of-life decision making: survey of critical care nurses' knowledge, attitude, and experience
    Yvonne Scherer
    School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY 14214 3079, USA
    Crit Care Nurse 26:30-40. 2006
  88. pmc The role of advance directives in end-of-life decisions in Austria: survey of intensive care physicians
    Eva Schaden
    Department of Anaesthesiology, General Intensive Care and Pain Management Medical University of Vienna, Austria
    BMC Med Ethics 11:19. 2010
    ..The aim of this survey was to explore Austrian intensive care physicians' experiences with and their acceptance of the new advance directive legislation two years after enactment (2008)...
  89. ncbi A Korean perspective on developing a global policy for advance directives
    Soyoon Kim
    Yonsei University College of Medicine, 250 Seongsanno, Seodaemun gu, Seoul, Republic of Korea
    Bioethics 24:113-7. 2010
    Despite the wide and daunting array of cross-cultural obstacles that the formulation of a global policy on advance directives will clearly pose, the need is equally evident...
  90. ncbi End-of-life care in the 21st century: advance directives in universal rights discourse
    Violeta Besirević
    Union University Law School Belgrade, Belgrade, Goce Delceva 36, Serbia
    Bioethics 24:105-12. 2010
    ..normative bases that could help to shape a workable legal construct that would facilitate a global use of advance directives. Although I believe that advance directives are of universal character, my primary aim in approaching this ..
  91. pmc Advance directives and outcomes of surrogate decision making before death
    Maria J Silveira
    Veterans Affairs Center for Clinical Management Research, and Division of General Medicine, University of Michigan, Ann Arbor, USA
    N Engl J Med 362:1211-8. 2010
    Recent discussions about health care reform have raised questions regarding the value of advance directives.
  92. ncbi Chinese seniors' perspectives on end-of-life decisions
    K W Bowman
    Mount Sinai Hospital, Toronto, Ont, Canada
    Soc Sci Med 53:455-64. 2001
    ..Respondents rejected advance directives. Respondents' attitudes toward end-of-life decision making can be understood through the lens of values from ..
  93. pmc Regional variation in the association between advance directives and end-of-life Medicare expenditures
    Lauren Hersch Nicholas
    Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA
    JAMA 306:1447-53. 2011
    It is unclear if advance directives (living wills) are associated with end-of-life expenditures and treatments.
  94. ncbi Advance directives, future selves and decision-making
    Alasdair R MacLean
    University of Dundee
    Med Law Rev 14:291-320. 2006
  95. pmc Deciding in the dark: advance directives and continuation of treatment in chronic critical illness
    Sharon L Camhi
    Division of Pulmonary and Critical Care Medicine, VA Pittsburgh Health Care System, Pittsburgh, PA, USA
    Crit Care Med 37:919-25. 2009
    ..We studied the availability of advance directives and appropriate surrogates to guide decisions about life-sustaining treatment for the chronically critically ..
  96. ncbi Advance directives and emergency department patients: ownership rates and perceptions of use
    D McD Taylor
    Department of Emergency Medicine, Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050, Australia
    Intern Med J 33:586-92. 2003
    b>Advance directives (ADs) are rarely available in Australia to guide management but may become more important as our population ages.
  97. ncbi Cardiopulmonary resuscitation directives on admission to intensive-care unit: an international observational study
    D J Cook
    Department of Medicine, McMaster University, Ontario, Hamilton, Canada
    Lancet 358:1941-5. 2001
    ..Our objective was to ascertain prevalence, predictors, and procurement pattern of cardiopulmonary resuscitation directives within 24 h of admission to the intensive-care unit (ICU)...
  98. pmc Patient knowledge and physician predictions of treatment preferences after discussion of advance directives
    G S Fischer
    Section of Palliative Care and Medical Ethics, Center for Medical Ethics, University of Pittsburgh School of Medicine, PA 15213, USA
    J Gen Intern Med 13:447-54. 1998
    ..physician understanding of patient preferences for proxies and treatments after outpatient discussions about advance directives. DESIGN: Cross-sectional interview-based and questionnaire-based survey...
  99. ncbi Epidemiology of and factors associated with end-of-life decisions in a surgical intensive care unit
    Anne Meissner
    Department of Anesthesiology and Intensive Care, Friedrich Schiller University Hospital, Jena, Germany
    Crit Care Med 38:1060-8. 2010
    ..To investigate the epidemiology of and possible factors associated with end-of-life decisions in a surgical intensive care unit...
  100. ncbi Accuracy of primary care and hospital-based physicians' predictions of elderly outpatients' treatment preferences with and without advance directives
    K M Coppola
    Department of Psychology, Monmouth University, West Long Branch, NJ 07764, USA
    Arch Intern Med 161:431-40. 2001
    ..physicians and family members are often inaccurate when making substituted judgments for patients without advance directives (ADs)...
  101. ncbi Advance directives as acts of communication: a randomized controlled trial
    P H Ditto
    Department of Psychology and Social Behavior, 3340 Social Ecology II, University of California, Irvine, CA 92697 7085, USA
    Arch Intern Med 161:421-30. 2001
    Instructional advance directives are widely advocated as a means of preserving patient self-determination at the end of life based on the assumption that they improve surrogates' understanding of patients' life-sustaining treatment wishes...

Research Grants63

  1. Palliative Care in People Living with AIDS: Integrating into Standard of Care
    MAUREEN ELLEN LYON; Fiscal Year: 2013
    ..teens living with HIV and found to be acceptable in this population, resulting in universal completion of advance directives and increased congruence regarding end-of-life preferences between patients and their surrogate decision-..
  2. Preparing Older Veterans with Serious and Chronic Illness for Decision Making
    Rebecca L Sudore; Fiscal Year: 2013
    ..g., resuscitation) by completing advance directives. Yet, this old paradigm is problematic...
  3. Patient-Centered Outcomes of Implantable Defibrillator Therapy in Older Patients
    DANIEL BRUCE KRAMER; Fiscal Year: 2013
    ..g. formal power of attorney for health care;advance directives;discussions with providers);main goal of care (e.g. life prolongation vs. comfort);health service use (e.g...
  4. Understanding Advance Care Planning as a Dyadic Process
    Terri R Fried; Fiscal Year: 2013
    ..In its traditional format, it consist of the completion of advance directives. However, it has been shown that the completion of documents is not in and of itself sufficient to improve ..
  5. Innovative Faith-Based Education on Advance Directives in Asian American Communit
    Angela Sun; Fiscal Year: 2011
    ..health education/promotion organizations, and health care organizations to educate and promote the use of advance directives 2) To develop, implement, and evaluate a culturally and spiritually appropriate intervention to increase the ..
  6. Improving Advance Care Planning by Preparing Diverse Seniors for Decision Making
    Rebecca L Sudore; Fiscal Year: 2013
    ..g., mechanical ventilation) by completing advance directives. Yet, advance directives often fail to prepare patients to identify their values or to communicate with ..
  7. The impact of quality end-of-life care in nursing homes
    SARAH ANN FORBES THOMPSON; Fiscal Year: 2010
    ..by facility process indicators: the number of hospice referrals, feeding tubes, hospitalizations, and advance directives;and resident/family outcomes: resident/family centered care, family satisfaction with care, family caregiver ..
  8. Promoting Behavior Change to Increase Engagement in Advance Care Planning
    Terri R Fried; Fiscal Year: 2012
    ..Traditionally, it consisted of the completion of advance directives (AD)...
  9. VoiceMyChoice: Enabling Persons with Dementia to Express Preferences
    Cameron J Camp; Fiscal Year: 2012
    ..g., pain ratings, food and activity preferences, advance directives, end of life choices)...
  10. Health Care Decision Making in Older Adults
    KATHRYN FLYNN; Fiscal Year: 2005
    ..proactive decision-related behaviors, including health information seeking on the Internet and completion of advance directives (e.g., living wills), to personal characteristics and previous experiences...
  11. EFFECTS OF ADVANCE DIRECTIVES ON MEDICAL CARE
    Lawrence Schneiderman; Fiscal Year: 1990
    ..Solutions to the rationing problem would be considered less in terms of imposing limits, and more in terms of enhancing autonomy...
  12. TESTING THE EFFECTIVENESS OF ADVANCE MEDICAL DIRECTIVES
    JOSEPH DANKS; Fiscal Year: 1999
    ..Current policy and law regarding advance directives presume that: 1) recording patients' treatment preferences prior to decisional incapacity will improve the ..
  13. DEMENTIA RESEARCH: INFORMED, PROXY, AND ADVANCE CONSENT
    Greg Sachs; Fiscal Year: 2000
    ..and values in the absence of the capacity to give informed consent; 2) obtaining advance consent, using advance directives for research modeled after the living will and durable power of attorney for health care employed in ..
  14. ADVANCE DIRECTIVES AMONG THE OLDEST OLD
    Howard Degenholtz; Fiscal Year: 2000
    DESCRIPTION: Advance directives have been promoted as a way to recognize the importance of patients in making decisions about their own health care...
  15. Patient-Centered Approach to Advance Care Planning
    KARIN KIRCHHOFF; Fiscal Year: 2006
    ..For a decade, attention has been given to the use of Advance Directives and Advance Care Planning (ACP) as ways to improve end-of-life care...
  16. ADVANCE DIRECTIVES VIDEO PACKAGE FOR PEOPLE WITH HIV
    Allison Morrill; Fiscal Year: 1999
    The purpose of this SBIR is to produce and evaluate a video package, Getting Ready: A Guide to Health Care Advance Directives, for people with HIV and their significant others (partners, families and friends)...
  17. A Computer-Based Decision Aid for Advance Care Planning
    Michael Green; Fiscal Year: 2004
    ..Despite generally positive attitudes toward advance directives, few people actually complete advance directives, fewer yet understand key elements necessary for meaningful ..
  18. PATIENT'S KNOWLEDGE AND USE OF LEGAL ADVANCE DIRECTIVES
    Kay Weiler; Fiscal Year: 1992
    ..Patient Self Determination Act which provides that written information about the patients' legal options for advance directives must be given to adults upon admission to a hospital, nursing home, hospice, or prior to the delivery of ..
  19. Converting Treatment Wishes into Orders at End of Life
    Susan Hickman; Fiscal Year: 2007
    DESCRIPTION (provided by applicant): Traditional advance directives have been advocated as 1 means to improve end-of-life care for nursing facility residents by providing documentation of treatment preferences to facilitate decision-..
  20. CARE INTEGRATION TEAM INTERVENTION DURING HOSPICE CARE
    Rebecca Allen; Fiscal Year: 2004
    ..Aim 2 measures the impact of RN-ACP interviewing on personal caregivers knowledge of advance directives and of care recipients medical treatment wishes...
  21. A Community-shared Clinical Abstract to Improve Care
    Barry Bershow; Fiscal Year: 2004
    ..such as a problem list, medications, allergies, baseline physical, physiologic, and cognitive function, advance directives, and supplemented by recent prescription claims history...
  22. NURSING ROLE IN THE ADVANCE DIRECTIVE DECISION
    ANN HURLEY; Fiscal Year: 1992
    ..The follow-up study will test the model in other settings. The findings can be applied to nursing practice for developing guidelines to articulate the role of the nurse in the area of advance directives.
  23. ADVANCE DIRECTIVES RESEARCH METHODS AND PRIORITIES
    Joan Teno; Fiscal Year: 1993
    The Patient Self-Determination Act (PSDA) has focused national attention on advance directives as one means for a patient to ensure adherence to his or her treatment preferences in the event of future incompetence due to illness or injury...
  24. FAMILY DECISION MAKING FOR INCOMPETENT PATIENTS
    Virginia Tilden; Fiscal Year: 1992
    ..in making withhold or withdraw decisions for adult family members who were decisionally incomperent, without advance directives, and whose deaths were anticipated...
  25. ADVANCE DIRECTIVES--EFFECTIVENESS OF MANDATORY NOTICE
    DORCAS LYNN; Fiscal Year: 1992
    Formal advance directives (living wills and durable powers of attorney) are widely encouraged as part of optimal medical decision-making...
  26. ADVANCED DIRECTIVES AND LIFE SUPPORT PREFERENCES
    Robin Froman; Fiscal Year: 1999
    ..Self-Determination Act, institutions have been required to advise patients about advance directives regarding life support and document patients' expressed intentions regarding ADs in permanent hospital ..
  27. End of Life Decision Making about Medical Treatments
    Laraine Winter; Fiscal Year: 2004
    ..By illuminating the decision-making processes underlying advance directives, study results should enhance communication between health providers and patients and provide guidance for ..
  28. END OF LIFE PRACTICES IN PACE - A MANAGED CARE PROGRAM
    Dana Mukamel; Fiscal Year: 2000
    ..One of the goals of the PACE program is to enhance quality of life prior to death by promoting the use of advance directives and tailoring of medical care to the wishes of patients...
  29. People with Chronic Illness and Advance Directives
    MARY JEZEWSKI; Fiscal Year: 2001
    ....
  30. ELDERLY AND THE EXPERIENCE OF DYING IN THE HOSPITAL
    SHARON KAUFMAN; Fiscal Year: 2000
    ..are influenced by policies governing payment and liability, and by legal prerogatives that control consent, advance directives, and surrogate decision-making. Coding-based qualitative data analysis will be used...
  31. IMPACT OF MENTAL HEALTH ADVANCE DIRECTIVES
    Debra Srebnik; Fiscal Year: 2004
    Mental Health Advance Directives (MHADs) are an emerging method of treatment planning for adults with serious and persistent mental illness...
  32. Effectively Implementing Psychiatric Advance Directives
    Jeffrey Swanson; Fiscal Year: 2006
    DESCRIPTION (provided by applicant): Psychiatric advance directives (PADs) allow competent persons to declare their treatment preferences and designate a proxy decision maker in advance of a mental health crisis when they may lose ..
  33. Psychiatric Treatment and Violence Risk Management
    Jeffrey Swanson; Fiscal Year: 2008
    ..effectiveness, decisional incapacity in severe mental illness (SMI), and implementation of psychiatric advance directives. First, he will conduct systematic comparative analysis of several datasets to provide a better ..
  34. SOCIAL AND ENVIRONMENTAL CONTEXTS OF ADAPTATION
    PETER DITTO; Fiscal Year: 2006
    ..We request funding to support three (3) predoctoral and three (3) postdoctoral trainees in the next project period. ..
  35. ENGAGEMENT OF PERSONS WITH DEMENTIA
    Jiska Cohen Mansfield; Fiscal Year: 2006
    ..In that way, it presents an exciting prospect for improving the quality of life in demented persons, thereby reducing their caregivers' burden. ..
  36. TREATMENT OF AGITATION IN THE NURSING HOME
    Jiska Cohen Mansfield; Fiscal Year: 2010
    ..PHS 398 (Rev. 05/01) Page 2 Principal Investigator/Program Director (Last, first, middle): Cohen-Mansfield, Jiska ..
  37. Enhancing Advance Care Planning in Diverse Elders with Limited Literacy
    REBECCA SUDORE; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable]..
  38. Nursing Effort and Quality in Long-Term Care Facilities
    Robert Kane; Fiscal Year: 2004
    ..The database consists of 3125 residents in 98 nursing units from 62 facilities. Results should shed light on the current policy debate over nursing home staffing standards. ..
  39. SLEEP HEART HEALTH STUDY
    Helaine Resnick; Fiscal Year: 2007
    ..Accomplishing these goals will provide important information concerning the public health impact of SDB. ..
  40. Hospice Intervention for Older Adults With End Stage Renal Disease
    Lewis Cohen; Fiscal Year: 2007
    ..unreadable] [unreadable] [unreadable]..
  41. The CASCADE Study: End-of-Life in Advanced Dementia
    Susan Mitchell; Fiscal Year: 2008
    ..abstract_text> ..
  42. Treatment goals at the end of life
    Terri Fried; Fiscal Year: 2006
    ..It began with projects examining attitudes toward life-sustaining treatment and advance directives, and outcomes of pneumonia in nursing home residents treated with and without hospital transfer...
  43. Understanding and Implementing End of Life Preferences
    ELIZABETH VIG; Fiscal Year: 2006
    ..abstract_text> ..
  44. Pain Management and Functional Recovery in Older Adults
    R Morrison; Fiscal Year: 2006
    ..The project will examine the impact of this generalizable intervention on pain levels, lower extremity performance, functional status, health related quality of life, and utilization. ..
  45. NATURAL HISTORY OF END OF LIFE DECISION MAKING
    Marie Nolan; Fiscal Year: 2003
    ..3)There will be a change from more control to less control in patients' decision control preferences as they approach death ..
  46. Communication in Late-stage Cancer: Exploring Hospice Decision
    DEBORAH PEASE WALDROP; Fiscal Year: 2010
    ..3) Understanding how end-of-life decisions are made is essential for the efficient planning and delivery of comprehensive services for the growing number of adults who will die from cancer. ..
  47. Tube-feeding in Elderly: Decision-making and Outcomes
    Susan Mitchell; Fiscal Year: 2003
    ..By the end of the award period the applicant will have the skills, experience and research track record necessary to become an independent investigator and leader in academic geriatrics. ..
  48. Traetment Goals at the End of Life
    Terri Fried; Fiscal Year: 2008
    ..abstract_text> ..
  49. The ADEPT Study: Estimating Prognosis in Advanced Dementia
    Susan Mitchell; Fiscal Year: 2009
    ..Thus, the information derived from this study has the potential to make important clinical, research and policy-relevant contributions to the care of older persons with dementia at the end-of-life. ..
  50. Intervention to Improve Expression of End of Life Preference for Homeless Persons
    John Song; Fiscal Year: 2009
    ..Encouraging individuals to plan for EOL care through Advance Directives (ADs), has been central to efforts to improve EOL care...
  51. Factors Related to Living Organ Donor Decision
    Marie Nolan; Fiscal Year: 2008
    ..6. To explore the meaning of the decision to be a living kidney donor in a culturally diverse sample of living kidney donor candidates. [unreadable] [unreadable]..
  52. NIA DEVELOPMENT AWARD PAIN AND DELIRIUM IN HIP FRACTURE
    R Morrison; Fiscal Year: 2002
    ..Dr. Morrison will engage in a number of educational activities in order to enhance his research and statistical analysis skills. ..
  53. RESIDENT ASSESSMENT OF PAIN MANAGEMENT (RAPM)
    Joan Teno; Fiscal Year: 2001
    ..abstract_text> ..