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Preferences of elderly cancer patients in their advance directives

Published in Critical Reviews in Oncology / Hematology. 2010, vol. 74, no. 1, p. 61-65
Abstract Efforts to improve the quality of end-of-life decision-making have emphasized the principle of individual autonomy to better ensure that patients receive care consistent with their preferences. Advance directives (ADs) can be vehicles for in-depth and ongoing discussions among health care professionals, patients, and families. The aim of our study was to identify preferences and values expressed in ADs of 50 elderly patients with cancer. Main concerns of the patients were resuscitation and introduction of artificial nutrition. Very few patients had unrealistic expectation. Preferences about patient's symptom management were quite different from one to another. Content of ADs not only involved life-sustaining technology, but also psychosocial items and religious beliefs and values. All patients designated at least one surrogate. In conclusion, ADs should not be considered simply as another questionnaire, but more as a process to improve communication.
Keywords *Advance DirectivesAgedAged, 80 and overChoice BehaviorCommunicationFemale*Health Services for the AgedHumansMaleNeoplasms/psychology/*therapy*Palliative Care*Patient PreferencePersonal AutonomyPhysician-Patient RelationsProxyReligionRetrospective Studies*Terminal Care
PMID: 19446467
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Research group Médecine palliative (709)
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PAUTEX, Sophie Marie et al. Preferences of elderly cancer patients in their advance directives. In: Critical Reviews in Oncology / Hematology, 2010, vol. 74, n° 1, p. 61-65. doi: 10.1016/j.critrevonc.2009.04.007 https://archive-ouverte.unige.ch/unige:21204

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Deposited on : 2012-05-23

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