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Titolo:
Depression, hopelessness, and the desire for life-saving treatments among elderly medically ill veterans
Autore:
Menon, AS; Campbell, D; Ruskin, P; Hebel, JR;
Indirizzi:
Univ Maryland, Sch Med, Dept Epidemiol & Prevent Med, Baltimore, MD 21201 USA Univ Maryland Baltimore MD USA 21201 Prevent Med, Baltimore, MD 21201 USA Dept Vet Affairs Maryland Hlth Care Syst, Mental Hlth Clin Ctr, Baltimore,MD USA Dept Vet Affairs Maryland Hlth Care Syst Baltimore MD USA ltimore,MD USA
Titolo Testata:
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
fascicolo: 4, volume: 8, anno: 2000,
pagine: 333 - 342
SICI:
1064-7481(200023)8:4<333:DHATDF>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
NURSING-HOME RESIDENTS; SUSTAINING TREATMENTS; HOSPITALIZED-PATIENTS; CARE PREFERENCES; SUICIDE; OLDER; SCALE; ATTITUDES; THERAPY; ILLNESS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Menon, AS VAMC, Ward 25B, Perry Point, MD 21902 USA VAMC Ward 25B Perry Point MD USA 21902 Perry Point, MD 21902 USA
Citazione:
A.S. Menon et al., "Depression, hopelessness, and the desire for life-saving treatments among elderly medically ill veterans", AM J GER PS, 8(4), 2000, pp. 333-342

Abstract

During a serious medical illness, several factors, including perceived quality of life, social support, functional disability, severity of illness, and presence of depressive symptoms, influence desire for li,fe-saving treatments such as cardiopulmonary resuscitation (CPR), mechanical ventilation, tube feeding, and intravenous fluids. The authors examined the influence ofdepression and hopelessness on preferences for life-saving treatment in older medically ill male patients in the medical service of a Veterans Administration Medical Center Subjects with high levels of hopelessness desired less life-saving treatment during their current illness; they were at least five times more likely to refuse CPR if required during the current hospitalization. This effect remained statistically significant after removing confounds of race, education, and religiosity. The diagnosis of major depression did not significantly influence the desire for life-saving treatment. Our findings suggest that psychiatrists should assess patients for severity of hopelessness when evaluating decision-making capacity in the context of intervention refusal.

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Documento generato il 29/03/20 alle ore 09:12:59