Health Care Decision-Making Capacity: A Legal Perspective for Long-Term Care Providers

2006 ◽  
Vol 7 (5) ◽  
pp. 322-326 ◽  
Author(s):  
Stuart D. Zimring
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Long Term Care ◽  
Care Providers ◽  
Term Care ◽  
Health Care Decision ◽  
Decision Making Capacity ◽  
Legal Perspective ◽  
Care Decision

All in the Family: Extended Autonomy and Expectations in Surrogate Health Care Decision-Making1

1988 ◽  
Vol 28 (Suppl) ◽  
pp. 46-51 ◽  
Author(s):  
Dallas M. High
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Elderly Persons ◽  
Term Care ◽  
Health Care Decision ◽  
The Family ◽  
Depth Interviews ◽  
Care Decision ◽  
Decisional Incapacity

Abstract Examined were elderly persons' preferences and expectations for advance directives and surrogate health care decision-making in the event of decisional incapacity. Exploratory findings are presented from in-depth interviews of a sample of men and women aged 67 to 91 (n = 40). The view that elderly people have a strong expectation for familial decision-making in the event of long term care and perceive this reliance as a means of extended autonomy was supported by the findings.

scholarly journals The Decision-Making and Communication Capacities of Older Adults with Dementia: A Population-Based Study

2014 ◽  
Vol 8 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Kazuko Mitoku ◽  
Setsu Shimanouchi
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Long Term Care ◽  
Population Based ◽  
Term Care ◽  
Daily Lives ◽  
People With Dementia ◽  
Decision Making Capacity ◽  
One Year

The present study assessed the decision-making and communication capacities of older adults with dementia who required assistance and care and measured the subsequent changes in these capacities. Of 845 older adults who received long-term care between April 2003 and December 2004, about half of them without dementia were excluded and the remaining 448 were finally included in the analyses. These individuals were completed follow-up for assessment for two years. The data were obtained from the Long-Term Care Insurance Certification Committee for Eligibility in Gujo City. A total of 73.7% of people with dementia were somewhat capable of making decisions (32.4% were reported as being “always capable”; 41.3% were reported as being “sometimes capable”). A total of 93.7% were somewhat capable of communicating with others (78.3% were reported as being “always capable”; 15.4% were reported as being “sometimes capable”). The results indicate that older adults with dementia can participate in their own care decisions, even if they require assistance and support in their daily lives. The present study shows, however, that baseline decision-making capacity declined to about half what they were after one year and to about one-third of what they were after two years, suggesting that earlier efforts are needed to ensure that the preferences of individuals with dementia are reflected in their care.

scholarly journals Managing the long term care of inflammatory bowel disease patients: The cost to European health care providers

2011 ◽  
Vol 5 (4) ◽  
pp. 301-316 ◽  
Author(s):  
James Buchanan ◽  
Sarah Wordsworth ◽  
Tariq Ahmad ◽  
Angela Perrin ◽  
Severine Vermeire ◽  
...  
Keyword(s):  
Health Care ◽  
Inflammatory Bowel Disease ◽  
Health Care Providers ◽  
Long Term Care ◽  
Care Providers ◽  
Term Care ◽  
European Health ◽  
Inflammatory Bowel ◽  
The Cost

Health Care Use Before and After Entering Long-Term Services and Supports

2016 ◽  
Vol 37 (1) ◽  
pp. 26-40 ◽  
Author(s):  
Robert Newcomer ◽  
Charlene Harrington ◽  
Denis Hulett ◽  
Taewoon Kang ◽  
Michelle Ko ◽  
...  
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Long Term Care ◽  
Health Care Use ◽  
Care Providers ◽  
Term Care ◽  
Before And After ◽  
Ed Visits ◽  
Post Acute Care

Objective: We examined the health care utilization patterns of Medicare and Medicaid enrollees (MMEs) before and after initiating long-term care in the community or after admission to a nursing facility (NF). Method: We used administrative data to compare hospitalizations, emergency department (ED) visits, and post-acute care use of MMEs receiving long-term care in California in 2006-2007. Results: MMEs admitted to a NF for long-term care had much greater use of hospitalizations, ED visits, and post-acute care before initiating long-term care than those entering long-term care in the community. Post-entry, community service users had less than half the average monthly hospital and ED use compared with the NF cohort. Conclusion: Hospital and ED use prior to and following NF and personal care program entry suggest a need for reassessing the monitoring of these high-risk populations and the communication between health and community care providers.

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