Overcoming Challenges to Surrogate Decision Making for Young Adults at the End of Life.
Am J Hosp Palliat Care
; 38(6): 596-600, 2021 Jun.
Article
en En
| MEDLINE
| ID: mdl-33715423
ABSTRACT
Surrogate decision makers (SDMs) are challenged by difficult decisions at the end of life. This becomes more complex in young adult patients when parents are frequently the SDMs. This age group (18 to 39 years old) commonly lacks advanced directives to provide guidance which results in increased moral distress during end of life decisions. Multiple factors help guide medical decision making throughout a patient's disease course and at the end of life. These include personal patient factors and SDM factors. It has been identified that spiritual and community group support is a powerful, but inadequately used resource for these discussions. It can improve patient-SDM-provider communications, decrease psycho-social distress, and avoid unnecessary interventions at the end of life.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Directivas Anticipadas
/
Toma de Decisiones
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Aspecto:
Ethics
Límite:
Adolescent
/
Adult
/
Humans
Idioma:
En
Revista:
Am J Hosp Palliat Care
Asunto de la revista:
ENFERMAGEM
Año:
2021
Tipo del documento:
Article
País de afiliación:
Estados Unidos