The year 1996 marks the fifth anniversary of the federal Patient Self-Determination Act. The
Patient Self-Determination Act required hospitals, nursing homes, and health plans to ask …

Background Traditional academic assumptions about advance care planning (ACP) include
the following:(1) the purpose of ACP is preparing for incapacity;(2) ACP is based on the …

Objective.—To examine the attitudes of health care workers regarding the withdrawal of life
support. Design.—Cross-sectional survey. Participants.—Attending staff, house staff, and …

Patient autonomy is a guiding principle in medical decision-making in America. This is
challenging when patients become mentally incapacitated and cannot express their …

Linda L. Emanuel, MD, PhD,'Marion Danis, MD, t Robert A. Pearlman, MD, MPH,# and Peter
A. Singer, MD, MPHS dvance directives for health care in anticipation of in-A competence …

Aims and objectives. This study attempted to test the plausibility of engaging frail nursing
home residents in advance care planning (ACP). Background. Advance care planning …

ON December 1, 1991, the Patient Self-Determination Act of 1990 (PSDA) 1 went into effect.
This is the first federal statute to focus on advance directives and the right of adults to refuse …

Advance rate planning is a process whereby a patient, in consultation with health care
providers, family members and important others, makes decisions about his or her future …

Background Although advance care planning (ACP) and the use of advanced care
directives (ACD) and end-of-life care plans are associated with a reduction in inappropriate …

Background It is sometimes necessary for courts to appoint guardians for adult,
incapacitated patients. There are few data describing how medical decisions are made for …