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Related Experiment Videos

Advance directives and dementia.

V F Rempusheski1, A C Hurley

  • 1University of Kansas School of Nursing, Kansas City 66160-7502, USA.

Journal of Gerontological Nursing
|March 9, 2002
PubMed
Summary
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Many adults with dementia have not completed advance directives (ADs). Nurses play a crucial role in supporting individuals with dementia through the AD decision-making process, regardless of dementia stage.

Area of Science:

  • Gerontology
  • Neurology
  • Bioethics

Background:

  • Despite the Patient Self-Determination Act, many adults with dementia lack advance directives (ADs).
  • Individuals with dementia face unique challenges in completing ADs due to cognitive decline and situational factors.

Purpose of the Study:

  • To discuss the complexities and considerations for individuals with dementia completing advance directives.
  • To highlight the essential role of nurses in facilitating the AD decision-making process for patients with dementia.

Main Methods:

  • Literature review and synthesis of existing research on advance directives and dementia.
  • Analysis of situational factors influencing AD completion in individuals with dementia.

Main Results:

Keywords:
Death and Euthanasia

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  • Advance directives can be successfully completed by individuals with mild to moderate dementia.
  • Key factors influencing AD completion include dementia stage, certainty of end-of-life wishes, care provider responsibilities, and patient emotional state.

Conclusions:

  • Nurses require knowledge of dementia stages to effectively guide patients through AD decisions.
  • Nurses should assess decision-making contexts, acknowledge emotions, understand AD requests, and support patient autonomy.