Validating older adult patient's Medical Treatment Decision Maker's (MTDM). A retrospective observational study with follow-up phone interview transcript.
• Increasing number of patients visit emergency departments in delirious state, thereby lacking cognitive capacity for treatment decision making. • In the Australian state of Victoria, clinicians are expected to comply with Medical Treatment planning and Decisions Act 2016 in relation to consenting...
| Publicado en: | Geriatric Nursing Vol. 59; pp. 658 - 662 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Sep2024
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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=180114332&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180114332 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01974572 1WB jtl: Geriatric Nursing issn: 01974572 maglogo: N pubinfo: dt: Sep2024 vid: 59 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 180114332 180114332 180114332 10.1016/j.gerinurse.2024.08.037 180114332 ppf: 658 ppct: 4 formats: tig: atl: Validating older adult patient's Medical Treatment Decision Maker's (MTDM). A retrospective observational study with follow-up phone interview transcript. aug: au: Osman, Abdi D. Smithies, Lisa Jones, Daryl Howell, Jocelyn Braitberg, George affil: Austin Health. Heidelberg Victoria Australia sug: subj: Cognition Disorders Decision Making, Patient Evaluation Attitude to Medical Treatment Consent Advance Directives Legislation and Jurisprudence Human Retrospective Design Nonexperimental Studies Male Female Aged Aged, 80 and Over Interviews Victoria Emergency Service Emergency Medical Services Professional-Family Relations Medication Compliance Quantitative Studies Random Sample Age Factors Descriptive Statistics Confidence Intervals Aged: 65+ years Aged, 80 & over Male Female ab: • Increasing number of patients visit emergency departments in delirious state, thereby lacking cognitive capacity for treatment decision making. • In the Australian state of Victoria, clinicians are expected to comply with Medical Treatment planning and Decisions Act 2016 in relation to consenting for treatment. • Patients who lack cognitive capacity for decision making on treatment rely on pre-appointed Medical Treatment Decision Maker or surrogate decision makers facilitated by the Victorian Civil and Administrative Tribunal. A Medical Treatment Decision Maker (MTDM), also referred to as surrogate decision maker, by law, is to be appointed to make medical treatment decisions on behalf of a person who cannot make such decisions for themselves. In the Emergency Department (ED) and acute healthcare services, the clinicians' (nurses and doctors) ability to contact MTDMs is essential for patient care, particularly in time-critical situations. Our primary objective was to review the verification process and assess the accuracy of MTDM contact numbers in the Health Information System (HIS) to assess compliance with legislation. We used a quantitative method with retrospective observational study design and follow-up phone interview transcript. One hundred and fifty-nine participants were randomly selected of whom 76 % had MTDM. Patient advancing age had statistically significant association with the number of call attempts made to reach the listed MTDM (P = 0.043; CI, -3.541 to -0.057) and the MTDM's consent to participate (p = 0.023). pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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