The Association Between Patient Health Status and Surrogate Decision Maker PTSD Symptoms in Chronic Critical Illness

Author(s):  
Blair Wendlandt ◽  
Agathe Ceppe ◽  
Christopher E Cox ◽  
Laura C. Hanson ◽  
Judith E. Nelson ◽  
...  
2019 ◽  
Vol 73 (9) ◽  
pp. 970
Author(s):  
Peter Wohlfahrt ◽  
Jose Nativi-Nicolau ◽  
Mingyuan Zhang ◽  
Craig Selzman ◽  
Tom Greene ◽  
...  

2003 ◽  
Vol 9 (2) ◽  
pp. 55-59 ◽  
Author(s):  
Paula K. Vuckovich

Psychiatric advance directives (PADs) have been legally defined in 12 states and implemented in all but 9. PADs may prevent unwanted treatment and identify preferred treatment. They may also allow mentally ill persons to exercise autonomous control over care even during periods of illness-induced incompetence. PADs can be beneficial for intermittently psychotic patients who have a trusted health care provider and a surrogate decision maker. Because of the growing interest in the use of PADs, nurses should be informed about the intended purposes, benefits, and drawbacks of them.


2006 ◽  
Vol 7 (1) ◽  
Author(s):  
Henriëtte AM van den Heuvel-Janssen ◽  
Jeroen AJ Borghouts ◽  
Jean WM Muris ◽  
Bart W Koes ◽  
Lex M Bouter ◽  
...  

Author(s):  
Robert Macauley ◽  
Susan Tolle

The majority of states require the signature of a surrogate decision maker on a POLST form for a patient who lacks decisional capacity. While commendable in its intention to ensure informed consent, in some cases this may lead the surrogate to feel that they are signing their loved one’s “death warrant,” adding to their emotional and spiritual distress. In this paper we argue that such a signature should be recommended rather than required, as it is neither a sufficient nor necessary condition of informed consent. Additional steps—such as requiring the attestation and documentation of the signing health care professional that verbal consent was fully informed and voluntary—can achieve the ultimate goal of respecting patient autonomy without adding to the surrogate’s burden.


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