MEDICAL DECISIONS AND ADVANCE CARE PLANNING IN THE NURSI

NURSI 中的医疗决策和预先护理计划

基本信息

批准号：
2871183
负责人：
Jiska Cohen-Mansfield
金额：
$ 8.1万
依托单位：
HEBREW HOME OF GREATER WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
1998
资助国家：
美国
起止时间：
1998-09-30 至 2000-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2871183
关键词：
caregivers clinical research decision making dementia health related legal health services research tag human old age (65+) human subject nursing homes patient care planning preference terminal patient care

项目摘要

The proposed study will explore the medical decision process and the utility of advance directives in the nursing home. Specifically, it is an initial study which aims to: 1. Clarify the factors influencing end of life medical decisions in the nursing home environment. 2. Describe the current use of advance directives in medical decision making in the nursing home. Specifically, we will identify a subset of medical conditions in which advance directives are perceived to be needed. 3. Ascertain the most useful components and most needed portions of advance directives from the perspectives of both formal and informal caregivers. Although the Patient-Determination Act mandates offering the option of advance directives to all nursing home residents, it has been shown to be less than effective in actual implementation of directives. Both the actual preparation of advance directives and the execution of the plans are low, such that even when advance directives are prepared, they make little difference on the actual future care received. By understanding the process of medical care decision making in the nursing home, we hope to improve the format for execution of advance directives so that it will be more useful and effective in actual care received the nursing home residents. Additionally, this will be the first study of the medical decision making process in the nursing home.

拟议的研究将探讨医疗决策过程和疗养院预先指示的效用。具体来说，是最初的研究旨在： 1。阐明影响生命终结医疗决策的因素疗养院环境。 2。描述当前的进步疗养院的医疗决策指令。具体来说，我们将确定一部分医疗状况预先指示被认为是需要的。 3。确定最多有用的组件和大多数所需的预先指令的部分正式和非正式护理人员的观点。尽管《患者确定法》要求提供向所有疗养院居民提前指令，已被证明在实际实施指令时不得有效。两者预先指令的实际准备和执行计划很低，这样，即使准备了预先指示，它们也使实际收到的实际未来护理几乎没有区别。通过理解我们希望，疗养院的医疗保健决策过程提高执行预先指令的格式，以便在实际护理中会更有用和有效接受护理家庭居民。此外，这将是第一个研究疗养院的医疗决策过程。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Which signs and symptoms warrant involvement of medical staff? The definition and identification of status-change events in the nursing home.

哪些体征和症状需要医务人员参与？

DOI：
10.1080/08964280309596064
发表时间：
2003
期刊：
Behavioral medicine (Washington, D.C.)
影响因子：
0
作者：
Cohen-Mansfield,Jiska;Lipson,Steven;Horton,Debra
通讯作者：
Horton,Debra

Medical staff's decision-making process in the nursing home.

疗养院医务人员的决策过程。

DOI：
10.1093/gerona/58.3.m271
发表时间：
2003
期刊：
The journals of gerontology. Series A, Biological sciences and medical sciences
影响因子：
0
作者：
Cohen-Mansfield,Jiska;Lipson,Steven
通讯作者：
Lipson,Steven

Medical decision-making around the time of death of cognitively impaired nursing home residents: a pilot study.

认知障碍疗养院居民死亡时的医疗决策：一项试点研究。