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死亡、否认与挫败:老年患者与预立医疗指示

Death, denial, and defeat: older patients and advance directives.

作者信息

Winland-Brown J E

机构信息

College of Nursing, Florida Atlantic University, Boca Raton, USA.

出版信息

Adv Pract Nurs Q. 1998 Fall;4(2):36-40.

PMID:9874949
Abstract

This article describes a phenomenological study involving 17 older persons who shared their reasons for not having formalized their end-of-life decisions. The study found they vacillated between fear and acceptance of death, trust and mistrust that others would or would not act according to their wishes, the assumption of immortality or the inevitability of death, and the denial or lack of knowledge of the necessity for legalizing their wishes. A discussion of the implications of these findings for nurse practitioners is presented.

摘要

本文描述了一项现象学研究,该研究涉及17位老年人,他们分享了未将临终决定正式化的原因。研究发现,他们在对死亡的恐惧与接受、相信或不相信他人会按自己的意愿行事、认为自己不会死或死亡不可避免,以及否认或不了解将自己的意愿合法化的必要性之间摇摆不定。文中还讨论了这些研究结果对执业护士的启示。

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引用本文的文献

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Advance Care Planning: A Story of Trust Within the Family.预先医疗指示:家庭内的信任故事。
J Appl Gerontol. 2024 Apr;43(4):349-362. doi: 10.1177/07334648231214905. Epub 2023 Nov 20.
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Do the elderly have a voice? Advance care planning discussions with frail and older individuals: a systematic literature review and narrative synthesis.老年人有话语权吗?与体弱和老年人进行预先医疗护理计划讨论:系统文献回顾和叙事综述。
Br J Gen Pract. 2013 Oct;63(615):e657-68. doi: 10.3399/bjgp13X673667.