Document Detail

When, how, and why of advance directives: tools for the cardiovascular nurse.
MedLine Citation:
PMID:  10549046     Owner:  NLM     Status:  MEDLINE    
In the U.S., cardiovascular disease is the number one cause of death. The chronicity and unpredictable nature of cardiovascular disease will affect thousands of patients and families who are often called upon to make difficult end of life choices. The federal legislation of the Patient Self Determination Act (PSDA) was passed in 1990 and went into affect in December of 1991. The essence of this legislation was to empower the public with the right to make end of life decisions. However, after almost 10 years of implementation there is little evidence of national acceptance by the health care industry as evident in the literature. Likewise, the public demonstrates limited knowledge regarding advance directives. The law applies to all health care facilities that receive any federal reimbursement for services and includes hospitals, nursing homes, home health agencies, and clinics. The PSDA requires health care institutions to establish mechanisms for disseminating information about advance directive, to patients and to designate personnel responsible for discussing advance directives with patients. In this paper, practical and clinical application to the special considerations of the patient and end of life choices will be discussed. A focus on facts, resources, and other information will be presented for the cardiovascular nurse in a variety of health care settings.
P J Crego
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Progress in cardiovascular nursing     Volume:  14     ISSN:  0889-7204     ISO Abbreviation:  Prog Cardiovasc Nurs     Publication Date:  1999  
Date Detail:
Created Date:  1999-11-23     Completed Date:  1999-11-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8704064     Medline TA:  Prog Cardiovasc Nurs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  92-6     Citation Subset:  IM; N    
Surgical Heart Services, Columbus, OH 43214, USA.
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MeSH Terms
Advance Directives* / legislation & jurisprudence
Cardiovascular Diseases / nursing*
Directories as Topic
Nurse-Patient Relations
Patient Self-Determination Act
Professional-Family Relations
United States

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

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