IMPLEMENTING A PILOT PROGRAM OF ADVANCED DIRECTIVES IN NURSING HOMES1

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Abstract

This project focused on employing a comprehensive advance directive, called Five Wishes, that is suited to a process-oriented approach emphasizing a discussion of personal, social, and emotional needs in end-of-life care. With findings of a limited number of advance directives completed, the traditional explanation of the ‘onset of progressive deterioration’ among the residents is offered. Residents with low sense of self-efficacy is suggested as another explanation and one worthy of further research.

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