PMID: 8994486Jan 1, 1997Paper

Implementation of the Patient Self-Determination Act (PSDA) in nursing homes in New York City

Journal of the American Geriatrics Society
M MezeyG Ramsey

Abstract

To examine implementation of the Patient Self Determination Act (PSDA), verbal directives, procedures for determination of resident' decision-making capacity, and role of ethics committees in nursing homes in New York City. Telephone survey. Social workers in 109 (69%) nursing homes in New York City. An 80-item instrument addressing: (1) social worker knowledge of the PSDA; (2) informing residents about advance directives (living wills and durable power of attorney for health care [health care proxies]); (3) determination of decision-making capacity to be informed about advance directives; (4) estimates of advance directives executed; (5) perceptions of PSDA effect; (6) ethics committees; (7) follow-up and documentation; and (8) staff and community education. Virtually all social workers in nursing homes stated that they made what they perceived to be a "serious effort" to inform residents about advance directives and to have residents execute directives (preferentially a health care proxy). More residents were thought to have executed a directive pursuant to the PSDA law than before the Act went into effect. Social workers in most homes informed residents about directives through face-to-face discussions. Most homes, however, ...Continue Reading

References

Mar 1, 1977·The American Journal of Psychiatry·L H RothC W Lidz
Oct 1, 1990·Journal of the American Geriatrics Society·L J FittenC Hamann
Sep 25, 1995·Archives of Internal Medicine·A M CugliariJ Sobal
Oct 1, 1994·Journal of the American Geriatrics Society·L J MarksonL H Glantz
Oct 1, 1994·Southern Medical Journal·D C ParkH T Palmer
Jun 1, 1994·The Gerontologist·M K Luptak, C Boult
Jan 1, 1994·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·J SugarmanS N Goodman
Oct 1, 1993·Journal of the American Geriatrics Society·M SilberfeldP A Singer
Mar 1, 1993·Journal of the American Geriatrics Society·D J Mazur, J F Merz
Feb 1, 1996·Journal of the American Geriatrics Society·M MezeyM Mittelman
Jan 1, 1996·Geriatric Nursing·S A WilsonS A Stearns

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Citations

Jan 1, 1997·Journal of the American Geriatrics Society·T F Ackerman
Aug 26, 2014·Journal of Social Work in End-of-life & Palliative Care·Sung Ae KwonJamie Alper
Dec 6, 2003·Internal Medicine Journal·D McD TaylorJ J McNeil
Oct 17, 2002·Internal Medicine Journal·D McD Taylor, P A Cameron
Mar 28, 2007·Journal of Social Work in End-of-life & Palliative Care·Cheryl K Brandsen
Jun 17, 2003·Journal of the American Medical Directors Association·Zuzka V BlasiLadislav Volicer
Apr 30, 2005·Journal of Palliative Medicine·D B MarinD Meier
Dec 6, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·M LahnE J Gallagher
Sep 18, 1998·The American Journal of Nursing·G C Ramsey
Feb 15, 2003·Biological Research for Nursing·Margaret M Heitkemper, Eleanor F Bond
May 25, 2005·Social Work in Health Care·Debra Lacey
Aug 2, 2020·Journal of the American Medical Directors Association·Alice L HolmesJoseph E Ibrahim

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