Role of advance directives in palliative care units: a prospective study

Palliative Medicine
Sophie PautexGilbert B Zulian

Abstract

Advance directives (ADs) might be useful in achieving improved communication and satisfaction with decision making at the end-of-life. Our aims were to better characterise patients with advanced oncological disease who decided to complete ADs and to measure the effect of ADs completion on the satisfaction level with end-of-life care from both patients and their relatives. A prospective study was conducted in three palliative care units. Patients with advanced cancer were included if they met the following criteria: an estimated life expectancy of <6 months, fluency in French, Mini Mental State Examination >20 and not yet completed ADs. All the patients received information about ADs and decided whether to complete ADs or not. The level of satisfaction with involvement in the decision process concerning end-of-life care was assessed by means of a written questionnaire. In all, 53 of 228 patients were included, and 12 decided to complete ADs. Patients who completed ADs had statistically less depression one week after inclusion (P = 0.030), had a lower anxiety score on the second week and had a lower depression score on the third week. There was a trend towards a higher satisfaction level with the involvement of the patients in en...Continue Reading

References

Nov 1, 1975·Journal of Psychiatric Research·M F FolsteinP R McHugh
Oct 1, 1992·Annals of Internal Medicine·L J SchneidermanR D Langer
Mar 28, 1991·The New England Journal of Medicine·M DanisD L Patrick
Jul 15, 1991·Annals of Internal Medicine·A B SecklerB E Paris
Sep 1, 1988·Journal of Gerontology·R F UhlmannK C Cain
Aug 1, 1986·Archives of Internal Medicine·B LoG Saika
Jun 1, 1983·Acta Psychiatrica Scandinavica·A S Zigmond, R P Snaith
May 28, 1997·JAMA : the Journal of the American Medical Association·J Lynn
Jul 1, 1997·Journal of the American Geriatrics Society·T J MattimoreR K Oye
May 7, 1998·Archives of Internal Medicine·P A SingerD C Mendelssohn
Jun 12, 1998·JAMA : the Journal of the American Medical Association·J C WeeksR S Phillips
Jan 23, 1999·JAMA : the Journal of the American Medical Association·P A SingerM Kelner
Mar 21, 2000·Clinics in Geriatric Medicine·R M Coe, D K Miller
Mar 21, 2000·Clinics in Geriatric Medicine·E L Siegler, B W Levin
Apr 28, 2000·Clinics in Geriatric Medicine·G S FischerJ A Tulsky
May 16, 2000·Journal of the American Geriatrics Society·R BakerJ Lynn
Apr 5, 2002·The New England Journal of Medicine·Terri R FriedHeather Allore
Apr 12, 2002·Journal of the American Geriatrics Society·Joan M TenoNeal V Dawson
Dec 6, 2003·The Oncologist·Lynn A Gloeckler RiesBrenda K Edwards
Sep 4, 2004·Wiener klinische Wochenschrift·Heinz Barta, Gertrud Kalchschmid
Oct 12, 2004·Social Science & Medicine·Marianne KlinkenbergGerrit van der Wal
Nov 3, 2004·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Julia Hannum RoseHarvey J Cohen
Sep 16, 2005·Social Science & Medicine·Mette L RurupDorly J H Deeg
Feb 17, 2007·Journal of the American Geriatrics Society·Joan M TenoTerrie Wetle
Jun 27, 2007·Journal of Palliative Medicine·Susan DesHarnaisCindy Carter

❮ Previous
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Citations

Dec 25, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Bhumsuk KeamMison Chun
Jan 19, 2013·Journal of Neural Transmission·Richard William Walker
Nov 22, 2014·Postgraduate Medicine·Christopher R Heron, B Brent Simmons
May 19, 2009·Critical Reviews in Oncology/hematology·Sophie PautexGilbert B Zulian
Nov 29, 2011·Journal of Advanced Nursing·Jeanine Blackford, Annette Street
Dec 4, 2014·Health Communication·Allison M Scott, John P Caughlin
Mar 22, 2014·Palliative Medicine·Arianne Brinkman-StoppelenburgAgnes van der Heide
Dec 8, 2016·Revista brasileira de enfermagem·Silvana Bastos CogoRosemary Silva da Silveira
Aug 28, 2015·Revista brasileira de enfermagem·Silvana Bastos Cogo, Valéria Lerch Lunardi
Jan 29, 2011·Palliative Medicine·Emmanuelle BélangerDanielle Groleau
Nov 10, 2011·International Journal of Palliative Nursing·Sandra M PereiraFlorbela Sampaio
Feb 11, 2015·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Pål Friis, Reidun Førde
Oct 25, 2013·Current Opinion in Supportive and Palliative Care·Marisa del V PérezAlejo F Agranatti
Aug 29, 2020·Palliative & Supportive Care·Lillian Ponchio E Silva MarchiBianca Sakamoto Ribeiro Paiva
Jan 22, 2015·Australian Health Review : a Publication of the Australian Hospital Association·Marcus SellarsClaire E Johnson
Jul 20, 2018·BMC Palliative Care·Reetta P PiiliPirkko-Liisa I Kellokumpu-Lehtinen
Jan 9, 2016·Movement Disorders Clinical Practice·Wei LiLouis Cs Tan
Oct 30, 2020·Palliative & Supportive Care·Ana Cláudia Mesquita GarciaGuilherme Antonio Moreira de Barros
Aug 11, 2018·Journal of Pain and Symptom Management·Elizabeth A Luth, Holly G Prigerson

❮ Previous
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