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制定生前预嘱。在一家多层次老年护理机构的经验。

Creating a living will. Experience at a multilevel geriatric facility.

作者信息

Levitt D, Gordon M

机构信息

British Columbia Association of Community Care, Vancouver.

出版信息

Can Fam Physician. 1996 Dec;42:2413-20.

Abstract

PROBLEM

How to ensure that residents of a multilevel long-term care facility are able to indicate treatment preferences for the future (when they will be unable to participate in decision making).

OBJECTIVE OF PROGRAM

To review the methods used to create a "living will" document suitable for a long-term care population that can be used as a guide and template for other long-term care populations.

MAIN COMPONENTS OF THE PROGRAM

The process includes gathering information, developing possible models, designing the document, the review process, and implementing the document.

CONCLUSIONS

Developing a living will document is not a simple process. The design should suit the population for whom the document is developed. Primary care physicians, other health care providers, and clergy should provide input.

摘要

问题

如何确保多层级长期护理机构的居民能够表明未来(当他们无法参与决策时)的治疗偏好。

项目目标

审查用于创建适用于长期护理人群的“生前预嘱”文件的方法,该文件可作为其他长期护理人群的指南和模板。

项目主要组成部分

该过程包括收集信息、开发可能的模型、设计文件、审查过程以及实施该文件。

结论

制定生前预嘱文件并非易事。设计应适合该文件所针对的人群。初级保健医生、其他医疗保健提供者和神职人员应提供意见。

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本文引用的文献

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Making an advance directive.制定预先医疗指示。
BMJ. 1995 Jan 28;310(6974):236-8. doi: 10.1136/bmj.310.6974.236.
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Nonabandonment: an old obligation revisited.不离不弃:重访一项古老的义务。
Ann Intern Med. 1995 Mar 1;122(5):377-8. doi: 10.7326/0003-4819-122-5-199503010-00010.
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Nonabandonment: a central obligation for physicians.不放弃:医生的一项核心义务。
Ann Intern Med. 1995 Mar 1;122(5):368-74. doi: 10.7326/0003-4819-122-5-199503010-00008.

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