HOW INFORMED CAN CONSENT BE - NEW LIGHT ON COMPREHENSION AMONG ELDERLY PEOPLE MAKING DECISIONS ABOUT ENTERAL TUBE-FEEDING

被引:24
作者
KRYNSKI, MD
TYMCHUK, AJ
OUSLANDER, JG
机构
[1] UNIV CALIF LOS ANGELES, SCH MED, DEPT PSYCHIAT, CTR STUDY ETH & DECIS MAKING, LOS ANGELES, CA USA
[2] UNIV CALIF LOS ANGELES, SCH MED, DEPT GERIATR, LOS ANGELES, CA USA
关键词
INFORMED CONSENT; ADVANCE DIRECTIVES; MEDICAL DECISION MAKING; DURABLE POWER OF ATTORNEY; LONG-TERM CARE;
D O I
10.1093/geront/34.1.36
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Elderly people in long-term care facilities do not understand much about various medical procedures, including enteral feeding. After presentation of empirically precise information about enteral tube feeding, residents in both long-term care and community-dwelling groups showed significant improvement in their understanding. The community-dwelling group showed even greater improvement. For both, comprehension was negatively related to age and depression scores, but positively related to IQ, reading comprehension, social support, and mental status. The MMSE proved the best predictor of comprehension. Implications of the results are discussed.
引用
收藏
页码:36 / 43
页数:8
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