Advance directives for older adults in the emergency department: a systematic review

Journal of Palliative Medicine
Jeremy OultonMartha Jane Mohler

Abstract

It has been more than two decades since the passage of the Patient Self-Determination Act (PSDA) of 1991, an act that requires many medical points of care, including emergency departments (EDs), to provide information to patients about advance directives (ADs). The study objective was to determine the prevalence of ADs among ED patients with a focus on older adults and factors associated with rates of completion. We searched PubMed, Embase, PsycINFO, CINAHL, Web of Science, Medline, and the Cochrane Library. Articles were selected according to the following criteria: (1) population: adult ED patients; (2) outcome measures: quantitative prevalence data pertaining to ADs and factors associated with completion of an AD; (3) location: EDs in the United States; and (4) date: published 1991 or later. Of the 258 references retrieved as a result of our search, six studies met inclusion criteria. Rates of patient-reported AD completion ranged from 21% to 53%, while ADs were available to ED personnel for 1% to 44% of patients. Patients aged ≥65 years had ADs 21% to 46% of the time. Sociodemographics (e.g., older age, specific religion, white or African American race, being widowed, or having children) and health status related variables ...Continue Reading

References

Jan 1, 1996·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·K K IshiharaM Cross
Oct 23, 1997·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·I LloveraA Sama
Oct 26, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·I LloveraL I Lesser
Dec 6, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·M LahnE J Gallagher
Feb 23, 2002·Western Journal of Nursing Research·Carole F HamelJohn B Bond
Jul 4, 2007·Annals of Internal Medicine·Henry S Perkins
Apr 2, 2010·The New England Journal of Medicine·Maria J SilveiraKenneth M Langa
Dec 16, 2011·The American Journal of Emergency Medicine·Charles P Davis
Apr 4, 2012·Journal of Palliative Medicine·Corita R GrudzenR Sean Morrison
Jul 12, 2013·The Hastings Center Report·Nicole M Piemonte, Laura Hermer
Apr 5, 2014·Journal of the American Geriatrics Society·Maria J SilveiraJohn Piette

❮ Previous
Next ❯

Citations

Aug 25, 2015·Journal of Palliative Medicine·Jay RajdaGregory Steinberg
May 23, 2016·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Ru-Jun ZhengJun-Ying Li
Mar 16, 2018·Journal of the American Geriatrics Society·Kei OuchiDaniel J Pallin
Dec 1, 2017·Journal of Palliative Medicine·Lindsay J PetersonKathryn Hyer
Jan 31, 2019·The American Journal of Hospice & Palliative Care·Meredith MacKenzie GreenleConnie Ulrich
Feb 28, 2019·Journal of Palliative Care·Christian DigoutFred Burge
Jan 19, 2019·BMC Emergency Medicine·Nathan WalzlDavid J Lowe
May 13, 2020·Acute Medicine & Surgery·Naomi GeorgeKei Ouchi
Dec 14, 2016·Alzheimer's Research & Therapy·Meera SheffrinMichael A Steinman
Aug 29, 2019·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Rina FedorowskyTalma Kushnir
Mar 5, 2021·Emergency Medicine Journal : EMJ·Nathan WalzlDavid J Lowe
May 16, 2018·Joint Commission Journal on Quality and Patient Safety·Fatima SheikhAlicia I Arbaje
Apr 1, 2021·Journal of Medical Education and Curricular Development·Fatima SheikhColleen Christmas
Apr 13, 2021·Patient Education and Counseling·Mohsen BazarganShervin Assari
Apr 28, 2021·The American Journal of Emergency Medicine·Danya Khoujah, Nicole Cimino-Fiallos
Jun 4, 2021·Journal of Aging & Social Policy·Julie L MastersSarah B Hubner
Mar 4, 2019·Journal of the American Medical Directors Association·Richard B Stuart, Stephen Thielke
Sep 4, 2021·The American Journal of Hospice & Palliative Care·Mohsen BazarganShahrzad Bazargan-Hejazi

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.