An Advance Directive in Two Questions

Abstract It has been two decades since advance directives have become an integral part of health care. Impediments to their optimal usage are common and multifactorial. Decisions commonly have to be made when patients are unable to do so or choose not to participate in decision making, often at the...

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Published inJournal of pain and symptom management Vol. 41; no. 4; pp. 801 - 807
Main Author Mahon, Margaret M., PhD, RN, FAAN
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.04.2011
Subjects
Advance Directives
Aged
Anesthesia & Perioperative Care
Decision making
End of life decisions
Fatal Outcome
Female
Goals
Health care
Health Care Reform
Humans
Living Wills
Meningitis - etiology
Pain - etiology
Pain Management
Pain Medicine
Palliative Care
Pancreatic Neoplasms - complications
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - therapy
Resuscitation Orders
Advance directives
palliative care
decision making
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Summary:Abstract It has been two decades since advance directives have become an integral part of health care. Impediments to their optimal usage are common and multifactorial. Decisions commonly have to be made when patients are unable to do so or choose not to participate in decision making, often at the end of life. The use of two questions, 1) "If you cannot, or choose not to participate in health care decisions, with whom should we speak?" and 2) "If you cannot, or choose not to participate in decision making, what should we consider when making decisions about your care?," may accomplish the major goals of an advance directive.
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ISSN:0885-3924
1873-6513
DOI:10.1016/j.jpainsymman.2011.01.002