Life Expectancy Issues in Life Care Planning.
The present paper is a review of life expectancy and life expectancy determination in forensic applications, including life care planning. Part One discusses basic aspects of life expectancy determination and five current approaches to the challenge. Part Two begins with general considerations regar...
| Publicado en: | Journal of Life Care Planning Vol. 19; no. 1; pp. 19 - 59 |
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| Autor principal: | |
| Formato: | review tables/charts Journal Article |
| Publicado: |
International Association of Rehabilitation Professionals
2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149706356&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149706356 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23286172 137A jtl: Journal of Life Care Planning issn: 23286172 maglogo: N pubinfo: dt: 2021 vid: 19 iid: 1 pid: 70568 pub: International Association of Rehabilitation Professionals place: St. Paul, Minnesota artinfo: ui: 149706356 149706356 149706356 149706356 ppf: 19 ppct: 40 formats: fmt: @attributes: type: P tig: atl: Life Expectancy Issues in Life Care Planning. aug: au: Caruso, Garson M. sug: subj: Advance Care Planning Patient Care Plans Life Expectancy Evaluation Comorbidity Case Management Socioeconomic Factors Functional Status Insurance Coverage Mortality Relative Risk Age Factors Patient Assessment Life Expectancy Ethical Issues Prediction Models Life Table Method Physical Examination Health Information Survival ab: The present paper is a review of life expectancy and life expectancy determination in forensic applications, including life care planning. Part One discusses basic aspects of life expectancy determination and five current approaches to the challenge. Part Two begins with general considerations regarding modification of the standard population life table for individual comorbidities and other influences on mortality, and then provides a stepwise analysis of life expectancy determination by this method, including selection of the baseline life table, identification of relevant medical comorbidities and other conditions, quantification of mortality effects of those factors with information from the medical literature, combination of mortality indices to generate adjusted mortality rates, and construction of a new, modified life table reflecting the effects of mortality influences. Part Three reviews potential future developments in life expectancy determination, and Part Four furnishes a summary. Appendices provide support for the text. This article addresses some of the strengths, weaknesses, and controversies in current practice of life expectancy determination, with the goal of furthering understanding and application of the science (and art) involved in achieving the most scientifically-accurate and valid results in life care planning. Specific aspects discussed include a) selection of the baseline life table; b) identification of relevant influences for the individual under scrutiny, including the multiplicity of elements, both positive and negative; the effects of socioeconomic factors, functional status, and medical care; and potential sources of information; c) accurate quantification of influences, encompassing the proper use of mortality indices; d) combination of baseline mortality rates and comorbidity effects, including overlap in mortality effects of relevant conditions; "double-dipping" by use of standard life tables; and adjustment for secular trends in mortality; and e) generation of a modified life table and adjusted life expectancy. The article ends with a brief discussion of possible future advances in the science and practice of life expectancy determination. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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