期刊
HEALTH & SOCIAL WORK
卷 41, 期 4, 页码 228-234出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/hsw/hlw042
关键词
advance directives; code status; durable power of attorney for health care; nursing homes; respect for autonomy
类别
资金
- Centers for Medicare and Medicaid Services [1E1CMS331080-01-00]
As part of an intervention to improve health care in nursing homes with the goal of reducing potentially avoidable hospital admissions, 1,877 resident records were reviewed for advance directive (AD) documentation. At the initial phases of the intervention, 50 percent of the records contained an AD. Of the ADs in the resident records, 55 percent designated a durable power of attorney for health care, most often a child (62 percent), other relative (14 percent), or spouse (13 percent). Financial power of attorney documents were sometimes found within the AD, even though these documents focused on financial decision making rather than health care decision making. Code status was the most prevalent health preference documented in the record at 97 percent of the records reviewed. The intervention used these initial findings and the philosophical framework of respect for autonomy to develop education programs and services on advance care planning. The role of the social worker within an interdisciplinary team is discussed.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据