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PubMed · 9601206

Implementing advance directives.

J Waun·J B Kilway·K VanGoor
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Abstract

Advance directives have an important place in medical practice. They promote planning for patients' medical care in unforeseen circumstances like unconsciousness from stroke or accident, when thinking and reasoning are impaired such as during a critical illness, and for patients facing death from conditions like terminal cancer or Alzheimer's Disease.

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Advance DirectivesBioethicsHumansPhysician-Patient RelationsTerminally IllJournal Article

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J Waun, J B Kilway, K VanGoor. 1998. Implementing advance directives.. https://pubmed.ncbi.nlm.nih.gov/9601206/

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PubMed1999

[Advance directives in clinical practice].

DEFINITIONS: In the United States advance directives were developed since the late 60s in order to improve patients' medical decision making in case of incompetence in the future. In Germany 3 types of advance directives exist: 1. "Patientenverfügungen". 2. "Berreuungsverfügugen" and 3. "Vorsorgevollmachten". EMPIRICAL STUDIES: In empirical studies, mostly from the US, the implementation of advance directives into clinical practice and the attitude of physicians, patients, relatives and the general population have been examined. This review article provides results of theses studies in text and tables. CONCLUSION: Against the will of patients and of the general population advance directives are not often used in clinical practice. Physicians talk with patients about treatment procedures more often than they talk about end of life decisions. Informing patients about advance directives opens the chance to improve palliative care and respects their choices and values at the end of their lives.

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