Irvin S M
J Post Anesth Nurs. 1995 Apr;10(2):79-83.
When the Patient Self-Determination Act of 1990 was enacted, health care facilities were mandated to question all patients regarding their choices in health care matters. Since that time, advance directives have received mixed reviews from health care providers, patients, and families. Much of the controversy results because advance directives vary from state to state, are poorly understood by health care providers and patients, and the laws are stated in vaguely defined terms. Understanding the laws at the state and local level can help educate professionals, who can share this information with other staff members, family, and patients.
1990年《患者自主决定法案》颁布后，医疗机构被要求询问所有患者在医疗保健事务方面的选择。自那时以来，预先指示受到了医疗保健提供者、患者及其家属的不同评价。许多争议的产生是因为预先指示因州而异，医疗保健提供者和患者对此理解不足，而且法律条款的定义模糊不清。了解州和地方层面的法律有助于对专业人员进行教育，他们可以将这些信息分享给其他工作人员、患者家属和患者。
