Nurses' Knowledge of Advance Directives, Patient Self-determination Act, and Illinois Advance Directive Law

2009 ◽  
Vol 23 (6) ◽  
pp. 316-320 ◽  
Author(s):  
THERESA WALERIUS ◽  
PAMELA D. HILL ◽  
MARY ANN ANDERSON
Keyword(s):  
Advance Directives ◽  
Advance Directive ◽  
Self Determination ◽  
Patient Self Determination Act ◽  
Nurses Knowledge

The Patient Self-Determination Act: A Legal Solution for a Moral Dilemma

1992 ◽  
Vol 1 (1) ◽  
pp. 75-79 ◽  
Author(s):  
Jos V. M. Welie
Keyword(s):  
Decision Making ◽  
Advance Directive ◽  
Patient Autonomy ◽  
Moral Dilemma ◽  
Work Load ◽  
Professional Autonomy ◽  
Self Determination ◽  
The Law ◽  
Patient Self Determination Act

The Patient Self-Determination Act is a fact. Finally, respect for patient autonomy has been guaranteed. At first sight, there seems little reason to object to any measure that intends to increase the autonomy of the patient. Too long, one may argue, physicians have behaved paternalistically; too often, they have been advised to change this habit. If the profession of medicine is unwilling or simply unable to grant the patient the decision-making power that is her due, the law has to step in. One may add, this law in no way hinders professional autonomy; by requiring a hospital official to provide the patient with information about advance directive, the law actually reduces the work load of the physician, who is already overburdened.

The Patient Self-Determination Act: Potential Ethical Quandaries and Benefits

1992 ◽  
Vol 1 (2) ◽  
pp. 107-115 ◽  
Author(s):  
Ernlé W. D. Young ◽  
Shelli A. Jex
Keyword(s):  
Informed Consent ◽  
Medical Treatment ◽  
Advance Directives ◽  
Patient Autonomy ◽  
Self Determination ◽  
Healthcare Facilities ◽  
Historical Trend ◽  
Patient Self Determination Act

As Part of the Omnibus Budget Reconciliation Act of 1990, the Patient Self Determination Act (PSDA) legislates new responsibilites for healthcare facilities. The authors served as members of the California Consortium on Patient Self-Determination, and the materials produced by this group offer healthcare facilities a valuable guide for implementing the PSDA. The ACt follows a historical trend led by doctrines of informed consent and increasing patient autonomy regarding rights to accept or refuse medical treatment and to execute advance directives. The requirements of the Act will influence healthcare facilities and how they communicate with patients about advance directives. Although the Act seeks to increase awareness of advance directices among all participants in healthcare interactions, it could pose major stumbling blocks to providing sensitive and humane care if certain concerns are nor addressed adequatley. The benefits of the Act could be far reaching and substantial for patients and healthcare facilities alike.

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