Advance planning for future illness should be broadened from medical care in the event of incompetence to all medical care for the elderly.
To plan effectively, patients need an assessment of their overall medical condition : whether they are robust, frail, demented, or dying.
They need to understand the kinds of complications often engendered by aggressive treatment, given their underlying status.
Given information about their circumstances and their capacity to withstand medical interventions, patients, together with their physicians, need to formulate broad goals for medical care.
There are significant barriers to implementing this scheme, but pressure from patients, structural changes in the practice of medicine that create incentives for planning, and educational strategies, including videotaped interviews and role-playing exercises, can facilitate this form of preventive medicine.
Mots-clés Pascal : Médecin, Soin, Organisation santé, Médecine préventive, Etats Unis, Homme, Vieillard, Relation médecin malade, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Physician, Care, Public health organization, Preventive medicine, United States, Human, Elderly, Physician patient relation, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0571524
Code Inist : 002B30A03B. Création : 01/03/1996.