Document Detail

Advance care planning in long-term care facilities.
MedLine Citation:
PMID:  14984615     Owner:  NLM     Status:  MEDLINE    
Residents of long-term care facilities are at risk of serious medical illnesses and being unable to express choices when difficult treatment decisions must be made. Advance care planning (ACP) allows residents to consider, make, and communicate their preferences for how medical decisions should be made if they are unable to participate in the decision-making process. This article reviews the three steps in ACP: consideration of options and expression of values, communication of decisions, and documentation of the choices. The article defines and describes the particular value of ACP in long-term care facilities, reviews the literature on successful ACP programs in long-term care, and concludes with practical suggestions on how to develop and implement ACP programs.
Michael D Cantor; Robert A Pearlman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of the American Medical Directors Association     Volume:  5     ISSN:  1525-8610     ISO Abbreviation:  J Am Med Dir Assoc     Publication Date:    2004 Mar-Apr
Date Detail:
Created Date:  2004-02-26     Completed Date:  2004-04-08     Revised Date:  2006-04-24    
Medline Journal Info:
Nlm Unique ID:  100893243     Medline TA:  J Am Med Dir Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S72-80     Citation Subset:  E; IM    
Geriatric Research, Education, and Clinical Center (182) Veterans Affairs Boston Health Care System-Jamaica Plain Campus, Jamaica Plain, Massachusetts 02130, USA.
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MeSH Terms
Advance Directives*
Homes for the Aged*
Nursing Homes*
Patient Care Planning*
Physician Executives
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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