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Updated: Jun 1, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Washington State Death with Dignity Act: implications for long-term care.

Karen S Feldt¹, Gail E Bond, Dana Jacobson

¹College of Nursing, Seattle University, Seattle, WA, USA. feldtk@seattleu.edu

Journal of Gerontological Nursing

|June 15, 2011

Summary

Directors of Nursing in long-term care facilities have limited knowledge of the Washington Death with Dignity Act (DWDA). Further education is needed to ensure staff can appropriately respond to resident requests under this end-of-life care law.

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Last Updated: Jun 1, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Area of Science:

Medical Law
Geriatric Care
End-of-Life Studies

Background:

The Washington Death with Dignity Act (DWDA) permits eligible terminally ill adults to self-administer prescribed medication.
Long-term care (LTC) and assisted living facilities are key settings for end-of-life care decisions.
Understanding healthcare professionals' knowledge of relevant legislation is crucial for patient care.

Purpose of the Study:

To assess the awareness and understanding of the DWDA among Directors of Nursing (DONs) in LTC and assisted living facilities.
To determine if DONs have educated their staff on responding to resident requests related to the DWDA.
To identify potential gaps in knowledge that may impact the implementation of the DWDA in these settings.

Main Methods:

A survey was conducted among Directors of Nursing (DONs) in long-term care (LTC) and assisted living facilities.
The survey aimed to evaluate DONs' comprehension of the Washington Death with Dignity Act (DWDA).
Data collected focused on knowledge of the law and staff education practices.

Main Results:

Findings indicate a need for enhanced understanding of the DWDA among surveyed DONs.
The study revealed varying levels of staff education regarding responses to resident requests under the DWDA.
The survey highlights potential areas for improved policy and training in LTC settings.

Conclusions:

DONs in LTC and assisted living facilities require further education on the Death with Dignity Act.
Effective staff training is essential for consistent and appropriate responses to patient requests.
This research can inform policy development to better support end-of-life care in residential facilities.