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Text
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URL Address
<a href="http://doi.org/10.1111/j.1532-5415.1988.tb04270.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1532-5415.1988.tb04270.x</a>
Pages
840–844
Issue
9
Volume
36
Dublin Core
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Title
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Life prolongation: views of elderly outpatients and health care professionals.
Publisher
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Journal of the American Geriatrics Society
Date
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1988
1988-09
Subject
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Humans; Middle Aged; Aged; *Attitude of Health Personnel; Communication; Decision Making; Age Factors; *Physician-Patient Relations; *Attitude to Death; Empirical Approach; Patient Participation; Death and Euthanasia; Withholding Treatment; *Right to Die; Akron City Hospital; Resuscitation; Ethics; Stress; Medical; 80 and over; Psychological
Creator
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Kohn M; Menon G
Description
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A peculiar dynamic in communication exists between those who are most likely to be involved in life-prolongation decisions. We found that both the elderly and health care professionals talk about life-prolongation, but not with one another; that they consider some of the same factors as they think about the life-prolongation decision; and that most of them believe physicians should be responsible for initiating discussion. However, the physician or health care professional who wishes to avoid crisis situations also is reluctant to broach the issue for fear of unnecessarily alarming or compromising the defense mechanisms of the patient. The patient remains patient, waiting–with fears of dependency, memories of previous life-threatening experiences, and deep sensitivity for suffering–for the physician to initiate the discussion. Is a mediator such as a family member necessary in these situations? Is the hospital environment not conductive to discussion of less than heroic efforts?
Identifier
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<a href="http://doi.org/10.1111/j.1532-5415.1988.tb04270.x" target="_blank" rel="noreferrer noopener">10.1111/j.1532-5415.1988.tb04270.x</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Attitude of Health Personnel
*Attitude to Death
*Physician-Patient Relations
*Right to Die
1988
80 and over
Age Factors
Aged
Akron City Hospital
Communication
Death and Euthanasia
Decision Making
Empirical Approach
Ethics
Humans
Journal of the American Geriatrics Society
Kohn M
Medical
Menon G
Middle Aged
Patient Participation
Psychological
Resuscitation
Stress
Withholding Treatment