1
40
1
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1001/jama.294.3.359" target="_blank" rel="noreferrer">http://doi.org/10.1001/jama.294.3.359</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Beyond advance directives: importance of communication skills at the end of life
Publisher
An entity responsible for making the resource available
Jama
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
Subject
The topic of the resource
Communication; U.S. Gov't; PedPal Lit; Extramural Research Support; N.I.H.; Non-U.S. Gov't Research Support; Advance Directives Colonic Neoplasms/secondary/therapy; Decision Making Humans Interprofessional Relations Liver Neoplasms/secondary/therapy Male Middle Aged Palliative Care Pancreatic Neoplasms/pathology/therapy; Non-P.H.S. Research Support; P.H.S.Terminal Care; Physician-Patient Relations Research Support
Creator
An entity primarily responsible for making the resource
Tulsky JA
Description
An account of the resource
Patients and their families struggle with myriad choices concerning medical treatments that frequently precede death. Advance directives have been proposed as a tool to facilitate end-of-life decision making, yet frequently fail to achieve this goal. In the context of the case of a man with metastatic cancer for whom an advance directive was unable to prevent a traumatic death, I review the challenges in creating and implementing advance directives, discuss factors that can affect clear decision making; including trust, uncertainty, emotion, hope, and the presence of multiple medical providers; and offer practical suggestions for physicians. Advance care planning remains a useful tool for approaching conversations with patients about the end of life. However, such planning should occur within a framework that emphasizes responding to patient and family emotions and focuses more on goals for care and less on specific treatments.
2005
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1001/jama.294.3.359" target="_blank" rel="noreferrer">10.1001/jama.294.3.359</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2005
Advance Directives Colonic Neoplasms/secondary/therapy
Backlog
Communication
Decision Making Humans Interprofessional Relations Liver Neoplasms/secondary/therapy Male Middle Aged Palliative Care Pancreatic Neoplasms/pathology/therapy
Extramural Research Support
JAMA
Journal Article
N.I.H.
Non-P.H.S. Research Support
Non-U.S. Gov't Research Support
P.H.S.Terminal Care
PedPal Lit
Physician-Patient Relations Research Support
Tulsky JA
U.S. Gov't