NURSING-HOME RESIDENTS, FAMILIES, AND DECISION-MAKING - TOWARD AN UNDERSTANDING OF PROGRESSIVE SURROGACY
NURSING-HOME RESIDENTS, FAMILIES, AND DECISION-MAKING - TOWARD AN UNDERSTANDING OF PROGRESSIVE SURROGACY
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DOI：
10.1016/0890-4065(95)90006-3
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发表时间：
1995-06-01
影响因子：
2.3
通讯作者：
ROWLES, GD
中科院分区：
文献类型：
--
作者：
HIGH, DM;ROWLES, GD
本文探讨了疗养院居民的代孕决策，并基于对四家疗养院 75 岁及以上居民为期三年的深入研究，对渐进式代孕进行了描述。作者描述并提供了疗养院居民健康和认知能力逐渐下降的案例研究实例，并讨论了决策能力的并行逐渐丧失。有证据表明，替代决策的需要涵盖了影响居民日常生活及其生活质量的全方位决策，而不仅仅是治疗和医疗保健的质量。研究结果表明，家庭高度参与向亲属提供决策帮助或为那些无法参与决策的人提供替代决策。家庭不会将亲属的决策权交给疗养院。
This article examines surrogate decision making for nursing home residents and offers a description of progressive surrogacy based an a three-year in-depth study of residents 75 years and older in four nursing homes. The authors describe and provide case study examples of progressive decline in health and cognitive ability among nursing home residents and discuss the parallel progressive loss of decision-making capacities. Evidence is presented that the need for surrogate decision making covers a full range of decisions affecting the daily fives of residents and their quality of life and not just quality of treatment and health care. Findings from the study suggest that families are highly involved in providing decision making assistance to their relatives or substitute decision making for those who cannot participate in decisions. Families are not abandoning relatives to the decision-making authority of nursing homes.