JAMDA
Volume 8, Issue 9 , Pages 575-581 , November 2007

The Maryland Patient Plan of Care Form: Perceptions of Physicians and Social Workers

  • Rene P. Laje, PhD

      Affiliations

    • Hebrew Home of Greater Washington, Research Institute on Aging, Rockville, MD
    • Corresponding Author InformationAddress correspondence to Rene P. Laje, PhD, Research Institute on Aging, 6121 Montrose Road, Rockville, MD 20852.
  • ,
  • Gary B. Wilks, MD

      Affiliations

    • Evercare Hospice and Palliative Care, Columbia, MD
  • ,
  • Marcia Marx, PhD

      Affiliations

    • Hebrew Home of Greater Washington, Research Institute on Aging, Rockville, MD
  • ,
  • Jiska Cohen-Mansfield, PhD

      Affiliations

    • Hebrew Home of Greater Washington, Research Institute on Aging, Rockville, MD
    • Tel-Aviv University, Israel, and George Washington University Medical Center, Washington, DC.

References 

  1. Miles SH, Koepp R, Weber E. Advance end-of-life treatment planning: A research review. Arch Intern Med. 1996;156:1062–1068
  2. McAuley WJ, Buchanan RJ, Travis SS, et al. Recent trends in advance directives at nursing home admission and one year after admission. Gerontologist. 2006;46:377–381
  3. Teno JM, Gruneir A, Schwartz Z, et al. Association between advance directives and quality of end-of-life care: A national study. J Am Geriatr Soc. 2007;55:189–194
  4. Borasio GD, Weltermann B, Voltz R, et al. Attitudes towards patient care at the end of life (A survey of directors of neurological departments). Nervenarzt. 2004;75:1187–1193
  5. Levin JR, Wenger NS, Ouslander JG, et al. Life-sustaining treatment decisions for nursing home residents: Who discusses, who decides and what is decided?. J Am Geriatr Soc. 1999;47(1):82–87
  6. O’Brien LA, Grisso JA, Maislin G, et al. Nursing home residents’ preferences for life-sustaining treatments. JAMA. 1995;274:1775–1779
  7. Hofmann JC, Wenger NS, Davis RB, et al. Patient preferences for communication with physicians about end-of-life decisions. Ann Intern Med. 1997;127:1–12
  8. Cherlin E, Fried T, Prigerson HG. Communication between physicians and family caregivers about care at the end of life: When do discussions occur and what is said?. J Palliat Med. 2005;8:1176–1185
  9. Happ MB, Capezuti E, Strumpf NE. Advance care planning and end-of-life care for hospitalized nursing home residents. J Am Geriatr Soc. 2002;50:829–835
  10. 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(8):681–685
  11. Holtzman J, Lurie N. Causes of increasing mortality in a nursing home population. J Am Geriatr Soc. 1996;44:258–264
  12. Hickman SE, Tolle SW, Brummel-Smith K, Carley MM. Use of the physician orders for life-sustaining treatment program in Oregon nursing facilities: Beyond resuscitation status. J Am Geriatr Soc. 2004;52:1424–1429
  13. Schmidt TA, Hickman SE, Tolle SW, Brooks HS. The physician orders for life-sustaining treatment program: Oregon emergency medical technicians’ practical experiences and attitudes. J Am Geriatric Soc. 2004;52:1430–1434
  14. Lee MA, Brummel-Smith K, Meyer J, et al. Physician Orders for Life-Sustaining Treatment (POLST): Outcomes in a PACE program. J Am Geriatr Soc. 2000;48:1–7
  15. Schamp R, Tenkku L. Managed death in a PACE: Pathways in present and advance directives. J Am Med Dir Assoc. 2006;7:339–344
  16. American Medical Directors Association. Health Maintenance in the Long Term Care Setting Clinical Practice Guideline. Columbia, MD: AMDA; 2007;
  17. Meyers JL, Moore C, McGrory A, et al. Physician orders for life-sustaining treatment form: Honoring end-of-life directives for nursing home residents. J Gerontol Nurs. 2004;30(9):37–46
  18. Tolle SW, Tilden VP. Changing end-of-life planning: The Oregon experience. J Palliat Med. 2002;5(2):311–317
  19. Csikai EL. Bereaved hospice caregivers’ perceptions of the end-of-life care communication process and the involvement of health care professionals. J Palliat Med. 2006;9(6):1300–1309
  20. Morrison RS, Chichin E, Carter J, et al. The effect of a social work intervention to enhance advance care planning documentation in the nursing home. J Am Geriatr Soc. 2005;53:290–294
  21. Csikai EL, Raymer M. Social workers’ educational needs in end-of-life care. Soc Work Health Care. 2005;41:53–72
  22. Tolle SW, Tilden VP, Rosenfeld AG, Hickman SW. Family reports to optimal care of the dying. Nurs Res. 2000;49:310–317
  23. Badzek LA. Advanced care planning: A study on home health nurses. Appl Nurs Res. 2006;19(2):56–62
  24. Heyland DK, Dodek P, Rocker G, et al. What matters most in end-of-life care: Perceptions of seriously ill patients and their family members. CMAJ. 2006;174(5):627–633

 This study was funded by a private contribution from Lois Smith, in memory of her husband Harry Smith.

PII: S1525-8610(07)00322-2

doi: 10.1016/j.jamda.2007.06.011

JAMDA
Volume 8, Issue 9 , Pages 575-581 , November 2007