PMID: 11314154Apr 21, 2001Paper

The value of taking an 'ethics history'

Journal of Medical Ethics
G M SayersD Schulman

Abstract

To study the value of taking an ethics history as a means of assessing patients' preferences for decision making and for their relatives' involvement. Questionnaire administered by six junior doctors to 56 mentally competent patients, admitted into general and geriatric medical beds. A large district general hospital in the United Kingdom. To establish whether patients were adequately informed about their illness and whether they minded the information being communicated to their relatives. To establish their preference regarding truthful disclosure and participation in decision making with risk attached. To establish whether they wished to be involved in CPR decision making, and if not, who should make the decision. To establish whether they knew of living wills and whether they had any advance directives. Twenty-four (43%) were inadequately informed of their illness. Forty-six (82%) said they would want to know were something serious to be found. Twenty-eight (50%) wanted to make their own decision if requiring risky treatment and 11 (20%) wanted family members involved. Thirty-one (55%) wanted to make a cardiopulmonary resuscitation (CPR) decision and five of these decisions differed from those made by the doctors. Twenty-fi...Continue Reading

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Citations

Oct 24, 2002·The Journal of Nursing Administration·Jane D Shapiro, Kathleen Bowles
Sep 11, 2009·Scandinavian Journal of Caring Sciences·Syed Ghulam Sarwar ShahIan Robinson
Sep 17, 2013·Nursing Ethics·Francesca IngravalloPatrizia Taddia
Jul 11, 2006·Age and Ageing·Abhay K DasGraham P Mulley

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