The nature of decision-making for persons with delirium : A preliminary review on the issue of advance directives and proxy consent

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概要

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• The purpose of this paper was to explore the nature and process of decision-making for persons with delirium. Decision-making situations for patients with delirium involve persons with delirium, their surrogate decision-makers, their significant others, and health care professionals who are responsible for supporting patients and family to make their right decisions. Brock's (1994) three-principle (the advance directives, the substituted judgment, and the best interest) may facilitate health care professionals to support sound decision making for patients with delirium and family. When invasiveness of procedure or research protocol is considerably higher than usual care, special attention should be sought for such instance-not only a conventional approach of proxy consent, but also an effort to validate authentic assent of patients with delirium, such as modified consent forms and processes. Potential conflicts between advance directives and surrogate decision making needs to be explored in further research. Exploration of the nature of consent and decision-making process for persons with delirium would expand the horizon of the body of knowledge relating to practice, education, and research of health care professionals.

• 藍野大学の論文

著者

• Watanuki Shigeaki

  Faculty Of Nursing And Rehabilitations Aino University

関連論文

• The nature of decision-making for persons with delirium : A preliminary review on the issue of advance directives and proxy consent

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