Too soon to give up: re-examining the value of advance directives.

Too soon to give up: re-examining the value of advance directives.
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DOI:
10.1080/15265161003599691
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发表时间:
2010-04
期刊:
The American journal of bioethics : AJOB
影响因子:
--
通讯作者:
Green MJ
Green MJ
中科院分区:
其他
文献类型:
--
作者:
Levi BH;Green MJ

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面对越来越多的批评,对预先指示,我们描述了一种新的,基于计算机的决策援助解决了这些重要的问题。这个决策辅助工具,让你的愿望知道:规划你的医疗未来,将个人的价值观和目标转化为一个有意义的预先指示,明确反映他们的医疗保健愿望,并概述了他们希望如何治疗的计划。它通过以下方式做到这一点:1)教育用户有关预先护理计划; 2)帮助个人识别,澄清和优先考虑影响他们对未来医疗条件决策的因素; 3)解释常见的临终医疗条件和维持生命的治疗; 4)帮助用户阐明关于预先护理规划的一组连贯的愿望-以医生易于解释的预先指示的形式;以及5)帮助个人选择发言人,并准备让家人、朋友和医疗保健提供者参与关于预先护理计划的讨论。
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 healthcare providers in discussions about advance care planning.
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