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Chapter 16 - Advance Directives

Law, Policy, and Use in Shared Decision-Making

Published online by Cambridge University Press:  27 May 2021

By
Joshua Rolnick
Edited by
Matthew N. Jaffa  and
David Y. Hwang
Matthew N. Jaffa
Affiliation:
Hartford Hospital, Connecticut
David Y. Hwang
Affiliation:
Yale University, Connecticut
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Summary

Advance directives (ADs) are legal documents that provide information on a patient’s preferences for care when seriously ill. ADs include two separate documents: a health-care power of attorney and/or a living will. This Chapter provides a practical guide to questions that may arise in the use of ADs as a part of shared decision-making in the intensive care unit (ICU).

Type
Chapter
Information
Shared Decision Making in Adult Critical Care , pp. 143 - 148
Publisher: Cambridge University Press
Print publication year: 2021

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References

Policy and Guidance - National Center for Ethics in Health Care. Available: www.ethics.va.gov/policy.asp#Advance%20Care%20Planning%20and%20Management%20of%20Advance%20Directives. (Accessed January 1, 2020).Google Scholar
Castillo, L.S., Williams, B.A., Hooper, S.M., et al. Lost in translation: The unintended consequences of advance directive law on clinical care. Annals of Internal Medicine, 2011; 154(2): 121–8.CrossRefGoogle Scholar
DeMartino, E.S., Rolnick, J.A.. The states as laboratories: regulation of decisions for incapacitated patients. Journal of Clinical Ethics, 2019; 30(2): 89–95.CrossRefGoogle ScholarPubMed
Can my advance directives travel across state lines? An essay on portability. Available: www.americanbar.org/groups/law_aging/publications/bifocal/vol_38/issue_1_october2016/advance-directives-across-state-lines/. (Accessed January 1, 2020).Google Scholar
20 Pa.C.S. § 5454(a) (2017).Google Scholar
20 Pa.C.S. § 5422 (2017).Google Scholar
In Re D.L.H., 606 Pa. 550, 2 A.3d 505 (2010).Google Scholar
DeMartino, E.S., Sperry, B.P., Doyle, C.K., et al. US state regulation of decisions for pregnant women without decisional capacity. JAMA, 2019; 321(16): 1629.Google Scholar
Teno, J.M., Gruneir, A., Schwartz, Z., et al. Association between advance directives and quality of end-of-life care: a national study: Advance directives and the quality of end-of-life care. Journal of the American Geriatrics Society, 2007; 55(2): 189–94.Google Scholar
Silveira, M.J., Kim, S.Y.H., Langa, K.M.. Advance directives and outcomes of surrogate decision making before death. New England Journal of Medicine, 2010; 362(13): 1211–18.CrossRefGoogle ScholarPubMed
Nicholas, L.H., Langa, K.M., Iwashyna, T.J., et al. Regional variation in the association between advance directives and end-of-life Medicare expenditures. JAMA, 2011; 306(13): 1447–53.Google Scholar
Ditto, P.H., Danks, J.H., Smucker, W.D., et al. Advance directives as acts of communication: a randomized controlled trial. Archives of Internal Medicine, 2001; 161(3): 421–30.Google Scholar
Molloy, D.W., Guyatt, G.H., Russo, R., et al. Systematic implementation of an advance directive program in nursing homes: a randomized controlled trial. JAMA, 2000; 283(11): 1437.Google Scholar
Detering, K.M., Hancock, A.D., Reade, M.C., et al. The impact of advance care planning on end of life care in elderly patients: randomised controlled trial. BMJ, 2010; 340: c1345.CrossRefGoogle ScholarPubMed
Yadav, K.N., Gabler, N.B., Cooney, E., et al. Approximately one in three US adults completes any type of advance directive for end-of-life care. Health Affairs (Millwood), 2017; 36(7): 1244–51.Google Scholar
Wilson, C.J., Newman, J., Tapper, S., et al. Multiple locations of advance care planning documentation in an electronic health record: are they easy to find? Journal of Palliative Medicine, 2013; 16(9): 1089–94.Google Scholar
Sabatino, C.P.. The evolution of health care advance planning law and policy. Milbank Quarterly, 2010; 88(2): 211–39.CrossRefGoogle ScholarPubMed
Rolnick, J.A., Asch, D.A., Halpern, S.D.. Delegalizing advance directives – facilitating advance care planning. New England Journal of Medicine, 2017; 376(22): 2105–7.CrossRefGoogle ScholarPubMed

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