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Purpose: To discover where patients with advance directives obtain them and to learn what patients' understanding is of how function. Methods: Adult patients with admitted to the four acute-care hospitals in Monterey County, California, were asked to participate in a survey during the study period 1 July to 8 September : Of 5, total admissions, patients 7 percent had an AD. Of these patients, 45 percent completed our survey.

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Participants included patients with a power of attorney for healthcare 72 percentand 21 patients who were unable to identify the type of AD they had 10 percent. Attorneys provided to 99 participants 49 percent and personal physicians provided to 12 participants 6 percent.

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Most participantsor 89 percent had spoken to their family about their AD; feweror 65 percent to their physician. Of the participants with a power of attorney, only 73 50 percent said they had spoken specifically to their agent.

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Family members 38 percent and attorneys 35 percent were seen as helpful in completing ; physicians 1 percent were not. Conclusions: Few study participants had advance directives, and attorneys provided and discussed with study participants more than physicians did.

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Because many patients with seem not to fully understand them, new approaches to advance planning education must be developed. Please enable it to take advantage of the complete set of features!

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Abstract Purpose: To discover where patients with advance directives obtain them and to learn what patients' understanding is of how function. Similar articles A preliminary investigation of opinions and behaviors regarding advance directives for medical care. Elpern EH, et al. Am J Crit Care. PMID: Advance directives among health care professionals at a community-based cancer center. Go RS, et al. Mayo Clin Proc. Advance directives for health care among older community residents. McAuley WJ, et al. J Health Hum Serv Adm.

Systematic review of educational interventions for improving advance directive completion. Durbin CR, et al. J Nurs Scholarsh.

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PMID: Review. A critical review of advance directives in Germany: attitudes, use and healthcare professionals' compliance. Evans N, et al. Patient Educ Couns. Epub Nov See all similar articles. Hooper S, et al. J Pain Symptom Manage.

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Epub Mar Punchik B, et al. Dement Geriatr Cogn Dis Extra. Does implementation matter if comprehension is lacking? A qualitative investigation into perceptions of advance care planning in people with cancer. Ugalde A, et al. Support Care Cancer.

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Epub May Publication types Multicenter Study Actions. Research Support, Non-U.

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