Advanced Directive Health Promotion Plan
Advanced Directive Health Promotion Evaluation Plan
Advanced directives are an important health tool that could help preserve patient quality of life during the dying process and protect both patients and loved ones from unnecessary suffering. Hunter-Johnson (2014) describes the different elements that may constitute an advanced directive and why each could provide protection for the patient's care preferences. The intervention involves educational workshops combined with individual clinician-led assessment sessions, although it was unclear whether the intervention was based on prior research findings or what nursing theories were relevant. In addition, the content of the intervention was not mentioned, which would have been helpful for evaluating the potential effectiveness and relevance of the questions included in the survey instrument. The instrument content was adapted from surveys used by the AARP and another state agency, but it was unclear whether these survey instruments would be appropriate for not only the content of the intervention or the target population.
Other details that seemed to be missing from the evaluation plan is a survey instrument designed to gather demographic information, which could be used to control for potential confounding variables. For example, Wissow and colleagues (2004) collected gender, age, ethnicity, and levels of clinic/ED use. This information may provide valuable insight into who is most likely to create an advanced directive in response to the intervention. The time frame for the study was not mentioned or how long after the intervention the survey instrument would be presented to intervention participants. This could be relevant because some individuals exposed to the intervention may decide to create an advanced directive right away, while others may wait weeks or months before finally making the decision to put into writing their care preferences.
References
Hunter-Johnson, L. (2014). Evaluating advanced directive promotion. University of South Alabama.
Wissow, L.S., Belote, a., Kramer, W., Compton-Phillips, a., Kritzler, R., & Weiner, J.P. (2004). Promoting advance directives among elderly primary care patients. Journal of General Internal Medicine, 19(9), 944-51.
Advanced Directive The 1991 the Patient Self-Determination Act (PSDA) was designed to give patients and their families greater autonomy over making decisions in regards to end-of-life care and minimizing the extension life beyond what would be considered a 'quality' level. It has been said that "advanced care planning increases the quality of life of dying patients, improves the experience of family members and decreases health care costs" for patients of a
Advanced directive may be one of the most important and underutilized tools in estate planning and health planning. This is partially due to the stigma that people have about advanced directives, as if, by planning how to deal with health issues, they are somehow going to cause health problems. However, the reality is that most people will encounter at least one medical emergency during their lifetime. In the event that
However, it does mean that some things will be different from the normal line of treatment. ("Advance Medical Directives.," n. d.); (Feldman, Mitchell D; Christensen, John F. (2007) The fact that resuscitation of a patient through CPR will not add significantly to the quantity and quality of life is an indication that death may not be very far off and that medicine does not have the power to turn around
advance directives. The writer explores what they are and possible solution to reduce problems with them. There were three sources used to complete this paper. The past few decades have seen an increase in law suits revolving around the final medical wishes of those who fall ill. Media coverage has provided the nation with front row coverage when it comes to people in comas, vegetative states, and no hope of
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The overall incidence of the withdrawal of life sustaining measures in European ICUs is not known, although withholding and withdrawing life support is actively used by most European intensivists, shortening of the dying process remains rare. In the treatment of terminally ill patients in Japan, new surveys indicate that Japanese physicians tend to treat the patients more aggressively. An analysis showed that in Japan, patients wishes are often not
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