A method for increasing elders' use of advance directives

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A method for increasing elders' use of advance directives

MK Luptak and C Boult
Department of Family Practice and Community Health, University of Minnesota, Minneapolis 55414.

Most published studies report that few elderly people have recorded advance directives (AD). We studied the effectiveness of an interdisciplinary intervention designed to help ambulatory frail elders to record AD. In collaboration with physicians and a trained lay volunteer, a social worker provided information and counseling to the elderly subjects, to their families, and to their proxies in a series of visits to a geriatric evaluation and management (GEM) clinic. Seventy-one percent of the subjects recorded AD. Of these, 96% named a proxy, and 83% recorded specific treatment preferences.

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				D. W. Molloy, R. Russo, D. Pedlar, and M. Bédard Implementation of Advance Directives Among Community-Dwelling Veterans Gerontologist, April 1, 2000; 40(2): 213 - 217. [Abstract] [Full Text]

				D. W. Molloy, G. H. Guyatt, R. Russo, R. Goeree, B. J. O'Brien, M. Bedard, A. Willan, J. Watson, C. Patterson, C. Harrison, et al. Systematic Implementation of an Advance Directive Program in Nursing Homes: A Randomized Controlled Trial JAMA, March 15, 2000; 283(11): 1437 - 1444. [Abstract] [Full Text] [PDF]

				N. P. Gordon and S. B. Shade Advance Directives Are More Likely Among Seniors Asked About End-of-Life Care Preferences Arch Intern Med, April 12, 1999; 159(7): 701 - 704. [Abstract] [Full Text] [PDF]

				D. K. Martin, E. C. Thiel, and P. A. Singer A New Model of Advance Care Planning: Observations From People With HIV Arch Intern Med, January 11, 1999; 159(1): 86 - 92. [Abstract] [Full Text] [PDF]

				J. Gockel, N. Morrow-Howell, E. Thompson, M. Pousson, and M. Johnson Advance Directives: A Social Work Initiative to Increase Participation Research on Social Work Practice, September 1, 1998; 8(5): 520 - 528. [Abstract] [PDF]