Document Detail

Preferences of elderly cancer patients in their advance directives.
MedLine Citation:
PMID:  19446467     Owner:  NLM     Status:  MEDLINE    
Efforts to improve the quality of end-of-life decision-making have emphasized the principle of individual autonomy to better ensure that patients receive care consistent with their preferences. Advance directives (ADs) can be vehicles for in-depth and ongoing discussions among health care professionals, patients, and families. The aim of our study was to identify preferences and values expressed in ADs of 50 elderly patients with cancer. Main concerns of the patients were resuscitation and introduction of artificial nutrition. Very few patients had unrealistic expectation. Preferences about patient's symptom management were quite different from one to another. Content of ADs not only involved life-sustaining technology, but also psychosocial items and religious beliefs and values. All patients designated at least one surrogate. In conclusion, ADs should not be considered simply as another questionnaire, but more as a process to improve communication.
Sophie Pautex; Grigorios Notaridis; Laurence D?ram?; Gilbert B Zulian
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Publication Detail:
Type:  Journal Article     Date:  2009-05-14
Journal Detail:
Title:  Critical reviews in oncology/hematology     Volume:  74     ISSN:  1879-0461     ISO Abbreviation:  Crit. Rev. Oncol. Hematol.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-11     Completed Date:  2010-05-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8916049     Medline TA:  Crit Rev Oncol Hematol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  61-5     Citation Subset:  IM    
Palliative Medicine Division, Department of Rehabilitation and Geriatrics, University Hospitals of Geneva, Switzerland.
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MeSH Terms
Advance Directives*
Aged, 80 and over
Choice Behavior
Health Services for the Aged*
Neoplasms / psychology,  therapy*
Palliative Care*
Patient Preference*
Personal Autonomy
Physician-Patient Relations
Retrospective Studies
Terminal Care*

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

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