| Preferences of elderly cancer patients in their advance directives. | |
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MedLine Citation:
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PMID: 19446467 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Sophie Pautex; Grigorios Notaridis; Laurence D?ram?; Gilbert B Zulian |
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Publication Detail:
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Type: Journal Article Date: 2009-05-14 |
Journal Detail:
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Title: Critical reviews in oncology/hematology Volume: 74 ISSN: 1879-0461 ISO Abbreviation: Crit. Rev. Oncol. Hematol. Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-03-11 Completed Date: 2010-05-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8916049 Medline TA: Crit Rev Oncol Hematol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 61-5 Citation Subset: IM |
Affiliation:
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Palliative Medicine Division, Department of Rehabilitation and Geriatrics, University Hospitals of Geneva, Switzerland. sophie.pautex@hcuge.ch |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Advance Directives* Aged Aged, 80 and over Choice Behavior Communication Female Health Services for the Aged* Humans Male Neoplasms / psychology, therapy* Palliative Care* Patient Preference* Personal Autonomy Physician-Patient Relations Proxy Religion Retrospective Studies Terminal Care* |
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