Download the full-sized PDF
Permanent link (DOI): https://doi.org/10.7939/R3CN6Z301
This file is in the following communities:
|Nursing, Faculty of|
This file is in the following collections:
Advance Directives in the Context of Uncertain Prognosis for Residents of Nursing Homes. Open Access
- Author or creator
- Additional contributors
advance care planning
- Type of item
- Journal Article (Published)
This report documents the findings of a mixed-methods study focused on the advanced directives of 182 residents of three LTC facilities in southern Ontario, Canada. Although almost all had a completed advance directive within 3 months of death, most did not have a palliative designation or directive until a few days before they died. Each facility’s written Progress Notes revealed staff members usually sought additional confirmation of care preferences from residents’ substitute decision-makers within a few days of the death. It was thus common for advance directives to change from a more interventionist approach to the least interventionist approach near death. This change indicates that the meaning and significance of advance care planning and resulting advance directives must be considered in light of the processes and temporal factors involved in their completion and use within this distinct population. The relational nature of advance care planning and concern about ageism as a factor for withholding or withdrawing life support for LTC residents are considered as possible explanatory factors. These findings and their implications are described in relation to end-of-life care policies and practices in LTC facilities.
- Date created
- License information
- Creative Commons Attribution-Non-Commercial 3.0 Unported
- Citation for previous publication
Williams, B.E.C., Wilson, D.M., & Keating, N. (2014). Advance Directives in the Context of Uncertain Prognosis for Residents of Nursing Homes. Open Journal of Nursing, 4(04), 321.
- Link to related item
- Date Uploaded
- Date Modified
- Audit Status
- Audits have not yet been run on this file.
File format: pdf (Portable Document Format)
Mime type: application/pdf
File size: 306033
Last modified: 2015:10:12 15:10:15-06:00
Original checksum: 2a67c07e3948db465622e351b9dd63c7
Well formed: false
Status message: Unexpected error in findFonts java.lang.ClassCastException: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject cannot be cast to edu.harvard.hul.ois.jhove.module.pdf.PdfDictionary offset=3981
Status message: Invalid Annotation property offset=3981
Status message: Outlines contain recursive references.
File title: Advance Directives in the Context of Uncertain Prognosis for Residents of Nursing Homes