• Arch Intern Med · May 1996

    Review

    Advance end-of-life treatment planning. A research review.

    • S H Miles, R Koepp, and E P Weber.
    • Center for Biomedical Ethics, University of Minnesota, Minneapolis, USA. Miles001@maroon.tc.umn.edu
    • Arch Intern Med. 1996 May 27; 156 (10): 1062-8.

    AbstractThe year 1996 marks the fifth anniversary of the federal Patient Self-Determination Act. The Patient Self-Determination Act required hospitals, nursing homes, and health plans to ask whether patients have advance directives and to incorporate them into the medical record. A "living will" is an advance directive by which a person tells caregivers the circumstances in which life-sustaining treatment is to be provided or forgone if the patient is unable to communicate. A "durable power of attorney for health care" enables one to designate a person to speak on his or her behalf if the author loses decision-making capacity. "Advance planning" is the process of reflection, discussion, and communication of treatment preferences for end-of-life care that precedes and may lead to an advance directive.

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