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Systematic Implementation of an Advance Directive Program in Nursing Homes

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TLDR
It is suggested that systematic implementation of a program to increase use of advance directives reduces health care services utilization without affecting satisfaction or mortality.
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The article was published on 2017-01-01 and is currently open access. It has received 450 citations till now.

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Advance directives in nursing homes: prevalence, validity, significance, and nursing staff adherence.

TL;DR: In 2007, ADs were rare in these German nursing homes, and most of the existing ones were invalid, of little meaning, and/or disregarded by the nursing staff.
Journal ArticleDOI

Advance directives for health care and research: prevalence and correlates.

TL;DR: The finding that only a small proportion of older adults have discussed future research participation with their families points to the need to find effective ways to promote advance directives for research in this population.
Journal ArticleDOI

Content of advance directives for individuals with advanced dementia.

TL;DR: For advance directives to better reflect a person's wishes, discussions with individuals and families about advance directives should include a range of care issues in the settings of terminal illness, persistent vegetative state or end-stage illness.
Journal ArticleDOI

Oncology nurses' knowledge, attitudes, and experiences regarding advance directives.

TL;DR: Overall, oncology nurses were most knowledgeable about ADs in general and less knowledgeable about the Patient Self-Determination Act and their state laws.
Journal ArticleDOI

An Electronic Medical Record Intervention Increased Nursing Home Advance Directive Orders and Documentation

TL;DR: An electronic medical record intervention is developed to improve documentation of patient preferences about life‐sustaining care, detail of resuscitation and treatment‐limiting orders, and concordance between these orders and patient preferences.
References
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A controlled trial to improve care for seriously ill hospitalized patients: The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT)

TL;DR: A 2-year prospective observational study (phase I) with 4301 patients followed by a two-year controlled clinical trial (phase II) with 4804 patients and their physicians randomized by specialty group to the intervention group or control group (n=2652).
Journal ArticleDOI

Reliability of a Standardized Mini-Mental State Examination compared with the traditional Mini-Mental State Examination.

TL;DR: Although the improved reliability of the Standardized Mini-Mental State was achieved by reducing measurement noise, this advantage would likely occur in a broad spectrum of patients.

How to Use an Article About Therapy or Prevention

TL;DR: A 19 year-old woman who has had systemic lupus erythematosus diagnosed on the basis of a characteristic skin rash, arthritis, and renal disease is seeing an internal medicine resident in a rheumatology rotation.
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