Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
STABILITY OF CHOICES ABOUT LIFE-SUSTAINING TREATMENTS
Autore:
DANIS M; GARRETT J; HARRIS R; PATRICK DL;
Indirizzi:
UNIV N CAROLINA,DEPT MED,DIV GEN MED,CB 7110,5025A OLD CLIN BLDG CHAPEL HILL NC 27599 UNIV N CAROLINA,SHEPS CTR HLTH SERV CHAPEL HILL NC 27599 UNIV WASHINGTON,SCH PUBL HLTH & COMMUNITY MED,DEPT HLTH SERV SEATTLE WA 98195
Titolo Testata:
Annals of internal medicine
fascicolo: 7, volume: 120, anno: 1994,
pagine: 567 - 573
SICI:
0003-4819(1994)120:7<567:SOCALT>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
ADVANCE DIRECTIVES; HEALTH; CARE;
Keywords:
LIFE SUPPORT CARE; PATIENT PARTICIPATION; DECISION MAKING; LIVING WILLS; TREATMENT REFUSAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
16
Recensione:
Indirizzi per estratti:
Citazione:
M. Danis et al., "STABILITY OF CHOICES ABOUT LIFE-SUSTAINING TREATMENTS", Annals of internal medicine, 120(7), 1994, pp. 567-573

Abstract

Objective: To examine the stability of patients' choices for life-sustaining treatments. Design: A longitudinal cohort study. Setting: Primary care practices in central North Carolina. Patients: Medicare recipients (n = 2536). Intervention: Participants were asked about demographic characteristics, health status, well-being, depression, social support, use of a living will, and desire for life-sustaining treatments if they were to become terminally ill. These questions were repeated 2years later (n = 2073, 82% follow-up). Results: The population tendedto choose to forego one more treatment at follow-up than they did at baseline. A choice to forego treatment was twice as stable as a choiceto receive treatment. Patients with a living will were less likely tochange their wishes (14%) than those without a living will (41%). Persons were more likely to want increased treatment at a later time if they had been hospitalized (23% compared with 18%), had had an accident(29% compared with 19%), had become more immobile (23% compared with 19%), had become more depressed (25% compared with 15%), or had less social support (25% compared with 14%). Conclusions: Most patients (85%) who had chosen to forego life-sustaining treatments did not change their choices. Nonetheless, these data suggest that it is important to review patients' preferences for life-sustaining treatments rather than to assume the stability of their choices.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/09/20 alle ore 22:31:22