Abstract:
:Surrogate decision-maker for end-of-life care is indicated at certain points during care for patients with terminal illnesses. This study aimed at identifying person(s) to whom northern Thai patients with terminal illnesses wished to transfer their decisions on end-of-life care and for cardiopulmonary resuscitation. From interviews with 152 eligible subjects, 57.2% had a high regard for their physicians' authority in making decisions on end-of-life care, 28.3% transferred their decisions to relative(s) and only 14.5% opted for shared decision-making among relative(s) and physicians. In the provision of cardiopulmonary resuscitation, 44.1% of subjects expressed a desire for family to make decisions together with physicians, 33.6% gave directives to the family alone and only 22.4% transferred their decisions to physicians. The differences that were observed in patients' preferences between the two situations indicate that patients should be assessed individually and adequate information for decision-making should be provided.
journal_name
Int J Nurs Practjournal_title
International journal of nursing practiceauthors
Sittisombut S,Inthong Sdoi
10.1111/j.1440-172X.2009.01730.xsubject
Has Abstractpub_date
2009-04-01 00:00:00pages
119-25issue
2eissn
1322-7114issn
1440-172Xpii
IJN1730journal_volume
15pub_type
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