Advance directives and power of attorney for health care in the oldest-old: results of the AgeQualiDe study
Background: Completion of advance directives (ADs) and power of attorney (POA) documents may protect a person’s autonomy in future health care situations when the individual lacks decisional capacity. As such situations become naturally much more common in old age, we specifically aimed at providing...
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
13 April 2017
|
| In: |
BMC geriatrics
Year: 2017, Jahrgang: 17 |
| ISSN: | 1471-2318 |
| DOI: | 10.1186/s12877-017-0482-8 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: http://dx.doi.org/10.1186/s12877-017-0482-8 Verlag, kostenfrei, Volltext: https://doi.org/10.1186/s12877-017-0482-8 
|
| Verfasserangaben: | Tobias Luck, Francisca S. Rodriguez, Birgitt Wiese, Carolin van der Leeden, Kathrin Heser, Horst Bickel, Jürgen in der Schmitten, Hans-Helmut Koenig, Siegfried Weyerer, Silke Mamone, Tina Mallon, Michael Wagner, Dagmar Weeg, Angela Fuchs, Christian Brettschneider, Jochen Werle, Martin Scherer, Wolfgang Maier, Steffi G. Riedel-Heller and for the AgeCoDe & AgeQualiDe study group |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1572144629 | ||
| 003 | DE-627 | ||
| 005 | 20220814120046.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 180418s2017 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1186/s12877-017-0482-8 |2 doi | |
| 035 | |a (DE-627)1572144629 | ||
| 035 | |a (DE-576)502144629 | ||
| 035 | |a (DE-599)BSZ502144629 | ||
| 035 | |a (OCoLC)1341007329 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Luck, Tobias |d 1981- |e VerfasserIn |0 (DE-588)138958149 |0 (DE-627)607416688 |0 (DE-576)309681383 |4 aut | |
| 245 | 1 | 0 | |a Advance directives and power of attorney for health care in the oldest-old |b results of the AgeQualiDe study |c Tobias Luck, Francisca S. Rodriguez, Birgitt Wiese, Carolin van der Leeden, Kathrin Heser, Horst Bickel, Jürgen in der Schmitten, Hans-Helmut Koenig, Siegfried Weyerer, Silke Mamone, Tina Mallon, Michael Wagner, Dagmar Weeg, Angela Fuchs, Christian Brettschneider, Jochen Werle, Martin Scherer, Wolfgang Maier, Steffi G. Riedel-Heller and for the AgeCoDe & AgeQualiDe study group |
| 264 | 1 | |c 13 April 2017 | |
| 300 | |a 12 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 18.04.2018 | ||
| 520 | |a Background: Completion of advance directives (ADs) and power of attorney (POA) documents may protect a person’s autonomy in future health care situations when the individual lacks decisional capacity. As such situations become naturally much more common in old age, we specifically aimed at providing information on (i) the frequency of ADs/POA in oldest-old individuals and (ii) factors associated with having completed ADs/POA. Methods: We analyzed data of oldest-old primary care patients (85+ years; including community-dwelling and institutionalized individuals) within the German AgeQualiDe study. Patients were initially recruited via their general practitioners (GPs). We calculated frequencies of ADs and POA for health care with 95% confidence intervals (CI) and used multivariable logistic regression analysis to evaluate the association between having ADs and POA and participants’ socio-demographic, cognitive, functional, and health-related characteristics. Results: Among 868 GP patients participating in AgeQualiDe (response = 90.9%), n = 161 had dementia and n = 3 were too exhausted/ill to answer the questions. Out of the remaining 704 (81.1%) dementia-free patients (mean age = 88.7 years; SD = 3.0), 69.0% (95%-CI = 65.6-72.4) stated to having ADs and 64.6% (95%-CI = 61.1-68.2) to having a POA for health care. Individual characteristics did not explain much of the variability of the presence/absence of ADs and POA (regression models: Nagelkerke’s R2 = 0.034/0.051). The most frequently stated reasons for not having ADs were that the older adults trust their relatives or physicians to make the right decisions for them when necessary (stated by 59.4% and 44.8% of those without ADs). Among the older adults with ADs, the majority had received assistance in its preparation (79.0%), most frequently from their children/grandchildren (38.3%). Children/grandchildren were also the most frequently stated group of designated persons (76.7%) for those with a POA for health care. Conclusions: Our findings suggest a high dissemination of ADs and POA for health care in the oldest-old in Germany. Some adults without ADs/POA perhaps would have completed advance care documents, if they had had received more information and support. When planning programs to offer advanced care planning to the oldest old, it might be helpful to respond to these specific needs, and also to be sensitive to attitudinal differences in this target group. | ||
| 650 | 4 | |a Prevalence | |
| 650 | 4 | |a Advance care planning | |
| 650 | 4 | |a Advance directives | |
| 650 | 4 | |a Frequency | |
| 650 | 4 | |a Oldest-old age | |
| 650 | 4 | |a Power of attorney | |
| 650 | 4 | |a Primary care | |
| 700 | 1 | |a Weyerer, Siegfried |d 1947- |e VerfasserIn |0 (DE-588)109057597 |0 (DE-627)506001407 |0 (DE-576)289630843 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t BMC geriatrics |d London : BioMed Central, 2001 |g 17(2017) Artikel-Nummer 85, 12 Seiten |h Online-Ressource |w (DE-627)335488994 |w (DE-600)2059865-8 |w (DE-576)107015080 |x 1471-2318 |7 nnas |a Advance directives and power of attorney for health care in the oldest-old results of the AgeQualiDe study |
| 773 | 1 | 8 | |g volume:17 |g year:2017 |g extent:12 |a Advance directives and power of attorney for health care in the oldest-old results of the AgeQualiDe study |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1186/s12877-017-0482-8 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |
| 856 | 4 | 0 | |u https://doi.org/10.1186/s12877-017-0482-8 |x Verlag |z kostenfrei |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20180418 | ||
| 993 | |a Article | ||
| 994 | |a 2017 | ||
| 998 | |g 109057597 |a Weyerer, Siegfried |m 109057597:Weyerer, Siegfried |d 60000 |e 60000PW109057597 |k 0/60000/ |p 9 | ||
| 999 | |a KXP-PPN1572144629 |e 3006392078 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"person":[{"family":"Luck","given":"Tobias","display":"Luck, Tobias","roleDisplay":"VerfasserIn","role":"aut"},{"given":"Siegfried","family":"Weyerer","role":"aut","roleDisplay":"VerfasserIn","display":"Weyerer, Siegfried"}],"title":[{"subtitle":"results of the AgeQualiDe study","title":"Advance directives and power of attorney for health care in the oldest-old","title_sort":"Advance directives and power of attorney for health care in the oldest-old"}],"language":["eng"],"recId":"1572144629","note":["Gesehen am 18.04.2018"],"type":{"bibl":"article-journal","media":"Online-Ressource"},"name":{"displayForm":["Tobias Luck, Francisca S. Rodriguez, Birgitt Wiese, Carolin van der Leeden, Kathrin Heser, Horst Bickel, Jürgen in der Schmitten, Hans-Helmut Koenig, Siegfried Weyerer, Silke Mamone, Tina Mallon, Michael Wagner, Dagmar Weeg, Angela Fuchs, Christian Brettschneider, Jochen Werle, Martin Scherer, Wolfgang Maier, Steffi G. Riedel-Heller and for the AgeCoDe & AgeQualiDe study group"]},"id":{"eki":["1572144629"],"doi":["10.1186/s12877-017-0482-8"]},"origin":[{"dateIssuedDisp":"13 April 2017","dateIssuedKey":"2017"}],"relHost":[{"title":[{"title":"BMC geriatrics","title_sort":"BMC geriatrics"}],"recId":"335488994","language":["eng"],"note":["Gesehen am 22. Mai 2020"],"disp":"Advance directives and power of attorney for health care in the oldest-old results of the AgeQualiDe studyBMC geriatrics","type":{"media":"Online-Ressource","bibl":"periodical"},"part":{"extent":"12","text":"17(2017) Artikel-Nummer 85, 12 Seiten","volume":"17","year":"2017"},"pubHistory":["1.2001 -"],"id":{"zdb":["2059865-8"],"eki":["335488994"],"issn":["1471-2318"]},"origin":[{"dateIssuedDisp":"2001-","publisher":"BioMed Central","dateIssuedKey":"2001","publisherPlace":"London"}],"physDesc":[{"extent":"Online-Ressource"}]}],"physDesc":[{"extent":"12 S."}]} | ||
| SRT | |a LUCKTOBIASADVANCEDIR1320 | ||