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- W312855199 abstract "Ethical and legal guidelines support the individual’s role in medical decision making at end of life, including decisions to forgo life-sustaining treatment, even when it may result in death. Advance directives, such as living wills, were legislated in 1991 with the Patient Self-Determination Act (PSDA) and were aimed at strengthening the rights of patients to continue to express their wishes regarding the use of life-sustaining measures should they become terminally ill or permanently unconscious. In the years since that legislation was enacted, however, a number of studies have demonstrated that only a small percentage of patients have advance directives, and these percentages are even smaller among minority patients. However, Teno, in a national mortality follow-back survey (N=1587) 10 years after the enactment of PSDA, found that a huge 71% of the 1,587 people who died (at home, in nursing home, or in hospital) were said to have had an advance directive. Further, individuals who had an advance directive were less likely to have a feeding tube, or use a respirator in the last month of life compared with those who did not." @default.
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- W312855199 date "2007-01-01" @default.
- W312855199 modified "2023-09-23" @default.
- W312855199 title "Potential Impact of Advance Directive Law Act 169 on Decisions and Care for Patients at End of Life: Reflections of Ethics Consultants" @default.
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