JAMDA
Volume 7, Issue 6 , Pages 339-344 , July 2006

Managed Death in a PACE: Pathways in Present and Advance Directives

  • Richard Schamp, MD, CMD

      Affiliations

    • Both authors are employed by St. Louis University and Dr. Schamp serves as Medical Director of the St. Louis PACE site, operated by Alexian Brothers Community Services. Neither declares conflict of interest.
    • Corresponding Author InformationAddress correspondence to Richard Schamp, MD, CMD, Department of Community and Family Medicine, St. Louis University School of Medicine, 1402 South Grand Boulevard, St. Louis, MO 63104.
    • ,
  • Leigh Tenkku, MPH

      Affiliations

    • Both authors are employed by St. Louis University and Dr. Schamp serves as Medical Director of the St. Louis PACE site, operated by Alexian Brothers Community Services. Neither declares conflict of interest.

References 

  1. High DM . Why are elderly people not using advance directives? . J Aging Health . 1993;5:497–515
  2. Miles SH , Koepp R , Weber EP . Advance end-of-life treatment planning (A research review) . Arch Intern Med . 1996;156:1062–1068
  3. Murphy DJ . Improving advance directives for healthy older people . J Am Geriatr Soc . 1990;38:1251–1256.
  4. Cantor MD , Pearlman RA . Advance care planning in long-term care facilities . J Am Med Dir Assoc . 2003;4:101–107.
  5. Kahana B , Dan A , Kahana E , Kercher K . The personal and social context of planning for end-of-life care . J Am Geriatr Soc . 2004;52:1163–1167
  6. Morrison RS , Zayas LH , Mulvihill M , et al.   Barriers to completion of health care proxies (An examination of ethnic differences) . Arch Intern Med . 1998;158:2493–2497
  7. Beck A , Brown J , Boles M , Barrett P . Completion of advance directives by older health maintenance organization members (The role of attitudes and beliefs regarding life-sustaining treatment) . J Am Geriatr Soc . 2002;50:300–306
  8. Patient Self-Determination Act . Omnibus Budget Reconciliation Act . 1990; Public Law No. 101–508, § 4206
  9. Larson DG , Tobin DR . End-of-life conversations (Evolving practice and theory) . JAMA . 2000;284:1573–1578
  10. High DM . Planning for decisional incapacity (A neglected area in ethics and aging) . J Am Geriatr Soc . 1987;35:814–820
  11. Emanuel LL , Barry MJ , Stoeckle JD , Ettelson LM , Emanuel EJ . Advance directives for medical care (A case for greater use) . N Engl J Med . 1991;324:889–895
  12. The SUPPORT Investigators . A controlled trial to improve outcomes for seriously ill hospitalized patients . JAMA . 1995;274:1591–1598
  13. Fried TR , van Doom C , O’Leary JR , et al.   Older persons’ preferences for site of terminal care . Ann Intern Med . 1999;131:109–112
  14. Eng C , Pedulla J , Eleazer GP , et al.   Program of all-inclusive care for the elderly (PACE) (An innovative model of integrated geriatric care and financing) . J Am Geriatr Soc . 1997;45:223–232
  15. Bodenheimer T . Long-term care for the frail elderly—The On Lok model . N Engl J Med . 1999;341:1324–1328
  16. CMS Web site. Available at: http://www.cms.hhs.gov/states/letters/bbapace.asp. Accessed August 9, 2004.
  17. Covinsky KE , Eng C , Lui LY , et al.   The last 2 years of life (functional trajectories of frail older people) . J Am Geriatr Soc . 2003;51:492–498
  18. Lynn J , Arkes H , Stevens M , et al.   Rethinking fundamental assumptions (SUPPORT’s implications for future reform) . J Am Geriatr Soc . 2000;48:S214–S221
  19. Teno J . Looking beyond the “form” to complex interventions needed to improve end-of-life care . J Am Geriatr Soc . 1998;46:1170–1171
  20. Commission on Aging with Dignity. Five Wishes. Tallahassee, FL: Aging with Dignity, 1998.
  21. Gillick MR . Choosing appropriate medical care for the elderly . J Am Med Dir Assoc . 2001;2:305–309
  22. Temkin-Greener H , Mukamel DB . Predicting place of death in the Program of All-inclusive Care for the Elderly (PACE) . J Am Geriatr Soc . 2002;50:125–135
  23. Ratner E , Norlander L , McSteen K . Death at home following a targeted advance-care planning process at home (The kitchen table discussion) . J Am Geriatr Soc . 2001;49:778–781
  24. Teno JM , Branco KJ , Mor V , et al.   Changes in advance care planning in nursing homes before and after the patient self-determination act (Report of a five state survey) . J Am Geriatr Soc . 1997;45:939–944
  25. Straton JB , Wang N-Y , Meoni LA , et al.   Physical functioning, depression, and preferences for treatment at the end of life (The Johns Hopkins Precursors Study) . J Am Geriatr Soc . 2004;52:577–582
  26. Layde PM , Beam CA , Broste SK , et al.   Surrogates’ predictions of seriously ill patients’ resuscitation preferences . Arch Fam Med . 1995;4:518–523
  27. Hammes BJ , Rooney BL . Death and end-of-life planning in one midwestern community . Arch Intern Med . 1998;158:383–390
  28. Tolle SW , Rosenfeld AG , Tilden VP , Park Y . Oregon’s low in-hospital death rates (What determines where people die and satisfaction with decisions on place of death?) . Ann Intern Med . 1999;130:681–685

PII: S1525-8610(06)00049-1

doi: 10.1016/j.jamda.2006.01.022

JAMDA
Volume 7, Issue 6 , Pages 339-344 , July 2006

Article Tools

* Image Usage & Resolution