Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Advance directives: when, why, and how to start talking

M T Carney1, R S Morrison

  • 1Acute Care of the Elderly Unit, Mount Sinai Medical Center, New York, USA.

Geriatrics
|April 1, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Early human contact and housing for pigs - part 2: resilience to routine husbandry practices.

Animal : an international journal of animal bioscience·2024
Same author

Early human contact and housing for pigs - part 3: ability to cope with the environment.

Animal : an international journal of animal bioscience·2024
Same author

Early human contact and housing for pigs - part 1: responses to humans, novelty and isolation.

Animal : an international journal of animal bioscience·2024
Same author

Group lactation from 7 or 14 days of age reduces piglet aggression at weaning compared to farrowing crate housing.

Animal : an international journal of animal bioscience·2019
Same author

Higher light intensity and mat temperature attract piglets to creep areas in farrowing pens.

Animal : an international journal of animal bioscience·2019
Same author

Forming groups of aggressive sows based on a predictive test of aggression does not affect overall sow aggression or welfare.

Behavioural processes·2018

Physicians should discuss advance directives with all patients during routine visits to ensure informed medical decisions. Regular annual reviews are recommended as patient wishes and circumstances can change over time.

Area of Science:

  • Medical Ethics
  • Patient Autonomy
  • Healthcare Policy

Background:

  • Advance directives empower patients to guide their medical care when decision-making capacity is lost.
  • Proactive discussions are essential as life-threatening events are unpredictable.
  • Patient understanding of options like CPR and artificial nutrition/hydration is crucial for informed consent.

Purpose of the Study:

  • To advocate for the integration of advance directive discussions into routine physician-patient interactions.
  • To emphasize the importance of patient values and goals in healthcare planning.
  • To provide a practical framework for implementing advance directive conversations in clinical practice.

Main Methods:

  • Physicians should initiate conversations about advance directives during regular office visits.
Keywords:
Death and EuthanasiaProfessional Patient Relationship

Related Experiment Videos

  • Educate patients on critical care options, including cardiopulmonary resuscitation (CPR) and artificial nutrition/hydration.
  • Conduct follow-up discussions to ensure alignment with evolving patient values and circumstances.

    • Main Results:

    • Routine discussions facilitate informed patient decision-making regarding future medical care.
    • Physician understanding of patient values enables effective guidance for proxy decision-makers.
    • A two-visit approach (initial <10 minutes, follow-up <5 minutes) is efficient.
    • Annual review of advance directives is necessary to accommodate changing patient preferences.

    Conclusions:

    • Integrating advance directive discussions into routine care is vital for respecting patient autonomy.
    • Physician-led conversations ensure patients are informed about critical care choices.
    • Regularly updating advance directives guarantees they reflect current patient wishes and values.