PMID: 8585706Dec 1, 1995Paper

Reaching consensus: the process of recommending treatment decisions for Alzheimer's patients

ANS. Advances in Nursing Science
A C HurleyS T Fry

Abstract

Observational and interview data obtained from nurse caregivers and family members of patients with late-stage Alzheimer's disease were analyzed to explicate the nursing role in advance proxy planning. A four-phase model, Achieving Consensus: Decision Making to Determine Treatment Options for Patients with Alzheimer's Disease, was developed. Patient decline, family coping, professional development of nursing staff, and nursing unit philosophy were community characteristics found to be important antecedents to the process of reaching consensus. Achieving consensus constructs included interactive process components of patient, family, and staff adjustment, caring, and knowing. Timing and trust were influential catalysts to family and staff readiness factors for achieving consensus. Outcomes were the advice provided by staff and the family conference where treatment options were determined. Consequences included the advance proxy plan and patient care.

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Citations

Feb 21, 2002·Neurologic Clinics·L VolicerS Hewitt
Sep 17, 2002·Journal of Advanced Nursing·Chris BaileyMeinir Krishnasamy
Mar 9, 2002·Journal of Gerontological Nursing·V F Rempusheski, A C Hurley
Nov 8, 2005·Nursing Forum·Candy Wilson
May 6, 2021·Journal of the American Geriatrics Society·Jürgen In der SchmittenGeorg Marckmann

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