Geriatricians' views of advance decisions and their use in clinical care in England: Qualitative study

Age and Ageing

Volumn 40, Issue 4, 2011, Pages 450-456

  Bond, Catherine Jane ^a   Lowton, Karen ^b  

^a UNIVERSITY COLLEGE LONDON HOSPITALS   (United Kingdom)

^b KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

Advanced care planning; Advanced decision to refuse treatment; Elderly; Geriatrician; Qualitative

Indexed keywords

ARTICLE; CLINICAL DECISION MAKING; CONFLICT OF INTEREST; GERIATRIC CARE; HUMAN; MEDICAL DECISION MAKING; MEDICAL DOCUMENTATION; PATIENT AUTONOMY; PATIENT CARE PLANNING; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; QUALITATIVE RESEARCH; SEMI STRUCTURED INTERVIEW; UNITED KINGDOM;

ADVANCE DIRECTIVES; ATTITUDE OF HEALTH PERSONNEL; COMPREHENSION; CONFLICT OF INTEREST; ENGLAND; GERIATRICS; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEALTH POLICY; HUMANS; INFORMED CONSENT; INTERVIEWS AS TOPIC; MENTAL COMPETENCY; PATIENT RIGHTS; PERSONAL AUTONOMY; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIANS; QUALITATIVE RESEARCH;

EID: 79959536645     PISSN: 00020729     EISSN: 14682834     Source Type: Journal    
DOI: 10.1093/ageing/afr025     Document Type: Article

References (24)

1. Grundy E. The epidemiology of aging. In: Tallis R, Fillit H, eds. Brocklehurst's Text book of Geriatric Medicine and Gerontology, 6th edition. London: Churchhill Livingstone, 2003.
2. Dunnell K. Ageing and mortality in the UK; national statistician's annual article on the population. Popul Trends 2008; 134: 6-23.
3. Lynn J, Adamson D. Living Well at the End of Life. Santa Monica, USA: RAND, 2003.
4. Department of Health. End of Life Care Strategy. London: HMSO, 2008.
5. Conroy S, Fade P, Fraser A, Schiff R. Advanced Care Planning: concise evidence based guidelines. Clin Med 2009; 9: 76-9.
6. Dying Matters. The National Council for Palliative Care. Available at http://www.dyingmatters.org/, 2010.
7. Department of Health England and Wales. Mental Capacity Act 2005 Chapter 9. London: The Stationery Office, 2005.
8. ICM/Endemol/BBC 2006. How to have a Good Death - General Public. Available at http://www.icmresearch.co.uk/pdfs/2006_march_Endemol_for_BBC_How_to_have_a_good_death_general_public_survey.pdf#search="endoflife".
9. Patient Self Determination Act (PSDA) of 1994, 42 U.S.C edn, USA, available at http://www.fha.org/acrobat/Patient%20Self%20Determination%20Act%201990.pdf.
10. Davidson KW, Hackler C, Caradine DR, McCord RS. Physicians' attitudes on advance directive. JAMA 1989; 262: 2415-9.
11. Morrison RS, Morrison EW, Glickman DF. Physician reluctance to discuss advance directives. An empiric investigation of potential barriers. Arch Intern Med 1994; 154: 2311-8.
12. Collins K, Lightbody P, Gilhooly M. Living wills: a survey of the attitudes of general practitioners in Scotland. Brit J Gen Pract 1999; 49: 641-2.
13. The SUPPORT Investigators. A controlled trial to improve care for seriously ill hospitalized patients: the study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment (SUPPORT). JAMA 1995; 274: 1591-8.
14. Toller CA, Budge MM. Compliance with and understanding of advance directives among trainee doctors in the United Kingdom. J Palliat Care 2006; 22: 141-6.
15. Thompson T, Barbour R, Schwartz L. Adherence to advance directives in critical care decision-making: vignette study. BMJ 2003; 327: 1011.
16. Blondeau D, Valois P, Keyserlingk EW, Hebert M, Lavoie M. Comparison of patients' and health care professionals' attitudes towards advance directives. J Med Ethics 1998; 24: 328-35.
17. Royal College of Physicians. Census of Consultant Physicians in the UK, 2007. London, UK: Royal College of Physicians, 2008.
18. Strauss A, Corbin J. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory, 2nd edition. Thousand Oaks, CA: Sage Publications, 1998.
19. Beauchamp T, Childress J. Principles of Biomedical Ethics, 6th edition. Oxford: Oxford University Press, 2009.
20. General Medical Council 2006, Good Medical Practice. London, UK: General Medical Council, Available at http://www.gmcuk.org/guidance/current/library/witholding_lifeprolonging_guidance.asp#14, 2009.
21. Sayers GM. Non-voluntary passive euthanasia: the social consequences of euphemisms. Eur J Health Law 2007; 14: 221-40.
22. Hawkins N, Ditto P, Danks J, Smucker WD. Micromanaging death: process preferences, values, and goals in end-of-life medical decision-making. Gerontologist 2005; 45: 107-17.
23. Rapley T. Distributed decision-making: the anatomy of decisions-in-action. Sociol Health Illn 2008; 30: 429-44.
24. Adelman R, Greene M, Ory M. Communication between older patients and their physicians. Clin Geriatr Med 2000; 16: 1-24.