Advance care-planning and clinical decision-making

Understanding patients' and doctors' attitudes about shared decision making for advance care planning

BACKGROUND Although shared decision making (SDM) is the preferred model of making complex treatment decisions with patients, patients' and doctors' attitudes towards SDM for advance care planning are unknown. OBJECTIVE We sought to: (i) gain general insights into the current practice of SDM and attitudes about patient involvement, and (ii) gain specific insights into experience with, and atti...

Clinical decision making and views about psychiatric advance directives.

OBJECTIVES Psychiatric advance directives allow competent persons to document advance instructions or designate a health care agent to communicate their preferences for future mental health treatment in the event of an incapacitating crisis. Although laws authorizing psychiatric advance directives have proliferated, little is known about clinicians' understanding and perceptions of these legal ...

Advance care planning and end-of-life decision making in dialysis: a randomized controlled trial targeting patients and their surrogates.

BACKGROUND Few trials have examined long-term outcomes of advance care planning (ACP) interventions. We examined the efficacy of an ACP intervention on preparation for end-of-life decision making for dialysis patients and surrogates and for surrogates' bereavement outcomes. STUDY DESIGN A randomized trial compared an ACP intervention (Sharing Patient's Illness Representations to Increase Trus...

Advanced care planning: policy and real-life decision-making?

Advance care planning in primary care.