Advance care planning: eliciting patient preferences for life-sustaining treatment.

Abstract:

:Patient autonomy is a guiding principle in medical decision-making in America. This is challenging when patients become mentally incapacitated and cannot express their preferences. Advance care planning (ACP) addresses this challenge. ACP is a deliberative and communicative process that helps people formulate and communicate preferences for future medical care in the event of mental incapacity. Advance directives are mechanisms for communicating and/or documenting ACP, and are either instructional (e.g. statement of treatment preferences in living wills) or proxy types (e.g. appointment of another person to speak on the patient's behalf). ACP discussions between patients and health care providers and patient-orientated educational ACP materials often ignore insights from 2 related activities, health promotion and human information processing. More effective ACP should occur with greater attention to the concepts of stages of change and self-efficacy, the Health Belief Model, and the necessary requisites for cognitive integration.

journal_name

Patient Educ Couns

authors

Pearlman RA,Cole WG,Patrick DL,Starks HE,Cain KC

doi

10.1016/0738-3991(95)00739-m

subject

Has Abstract

pub_date

1995-09-01 00:00:00

pages

353-61

issue

1-3

eissn

0738-3991

issn

1873-5134

pii

0738-3991(95)00739-M

journal_volume

26

pub_type

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