Too soon to give up: re-examining the value of advance directives
- PMID: 20379910
- PMCID: PMC3766745
- DOI: 10.1080/15265161003599691
Too soon to give up: re-examining the value of advance directives
Abstract
In the face of mounting criticism against advance directives, we describe how a novel, computer-based decision aid addresses some of these important concerns. This decision aid, Making Your Wishes Known: Planning Your Medical Future, translates an individual's values and goals into a meaningful advance directive that explicitly reflects their healthcare wishes and outlines a plan for how they wish to be treated. It does this by (1) educating users about advance care planning; (2) helping individuals identify, clarify, and prioritize factors that influence their decision-making about future medical conditions; (3) explaining common end-of-life medical conditions and life-sustaining treatment; (4) helping users articulate a coherent set of wishes with regard to advance care planning-in the form of an advance directive readily interpretable by physicians; and (5) helping individuals both choose a spokesperson, and prepare to engage family, friends, and health care providers in discussions about advance care planning.
Comment in
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Doing what we can with advance care planning.Am J Bioeth. 2010 Apr;10(4):W1-2. doi: 10.1080/15265161003697552. Am J Bioeth. 2010. PMID: 20379908 Free PMC article. No abstract available.
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A dead proposal: Levi and Green on advance directives.Am J Bioeth. 2010 Apr;10(4):23-4. doi: 10.1080/15265161003632963. Am J Bioeth. 2010. PMID: 20379913 No abstract available.
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What if patients with dementia use decision aids to make an advance euthanasia request?Am J Bioeth. 2010 Apr;10(4):25-6. doi: 10.1080/15265161003632955. Am J Bioeth. 2010. PMID: 20379914 No abstract available.
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Living with doubt.Am J Bioeth. 2010 Apr;10(4):27-8. doi: 10.1080/15265161003633037. Am J Bioeth. 2010. PMID: 20379915 No abstract available.
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Mind the child: using interactive technology to improve child involvement in decision making about life-limiting illness.Am J Bioeth. 2010 Apr;10(4):28-30. doi: 10.1080/15265161003632930. Am J Bioeth. 2010. PMID: 20379916 No abstract available.
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Ethics of translation: MOLST and electronic advance directives.Am J Bioeth. 2010 Apr;10(4):30-2. doi: 10.1080/15265161003633003. Am J Bioeth. 2010. PMID: 20379917 No abstract available.
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What about process? Limitations in advance directives, care planning, and noncapacitated decision making.Am J Bioeth. 2010 Apr;10(4):33-4. doi: 10.1080/15265161003632948. Am J Bioeth. 2010. PMID: 20379918 No abstract available.
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Building a better advance directive: next steps.Am J Bioeth. 2010 Apr;10(4):34-6. doi: 10.1080/15265161003650502. Am J Bioeth. 2010. PMID: 20379919 No abstract available.
References
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- Briggs L. Shifting the focus of advance care planning: using an in-depth interview to build and strengthen relationships. Journal of Palliative Medicine. 2004;7(2):341–9. - PubMed
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