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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

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Published on: September 30, 2020

Advance directives: limitations to completion.

Denise Hinders1

  • 1University of Cincinnati, Cincinnati, OH, USA. deniseh@woh.rr.com

The American Journal of Hospice & Palliative Care
|August 27, 2011
PubMed
Summary
This summary is machine-generated.

Advance directives are crucial for end-of-life care planning, yet few Americans complete them. Nurse practitioners are well-positioned to improve advance directive completion rates through education and advocacy.

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Area of Science:

  • Gerontology
  • Health Policy
  • Bioethics

Background:

  • The aging population is growing, increasing the need for advance care planning.
  • Despite the growing elderly population, less than 30% of Americans have advance directives.
  • Cultural, religious, and familial factors influence advance directive completion.

Purpose of the Study:

  • To examine factors influencing advance directive completion.
  • To highlight the role of healthcare providers, particularly nurse practitioners, in promoting advance directives.

Main Methods:

  • Review of factors affecting advance directive completion.
  • Analysis of healthcare provider perspectives on advance directives.
  • Assessment of nurse practitioners' potential role in facilitating advance directives.

Main Results:

  • Cultural values, religious beliefs, and family support impact advance directive completion.
  • Healthcare provider attitudes towards advance directives vary by setting.
  • Primary care providers often hesitate to discuss advance directives.

Conclusions:

  • Nurse practitioners, with over 600 million annual office visits, are pivotal in addressing low advance directive rates.
  • Educating and advocating for advance directives by nurse practitioners can significantly improve completion.
  • Addressing barriers to advance directive completion is essential for patient-centered care.