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Advance Care Plans and the Potentially Conflicting Interests of Bedside Patient Agents: A Thematic Analysis
Journal article   Open access   Peer reviewed

Advance Care Plans and the Potentially Conflicting Interests of Bedside Patient Agents: A Thematic Analysis

Denise P. Craig, Robin Ray, Desley Harvey and Mandy Shircore
Journal of multidisciplinary healthcare, Vol.14, pp.2087-2100
06/08/2021
PMID: 34393488
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Published (Version of record)CC BY-NC V3.0 Open Access
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Abstract

Health Care Sciences & Services Life Sciences & Biomedicine Science & Technology advance directive consent end of life hospital doctors living will patient agency
People diagnosed with a neurodegenerative disorder often contend with a threat to independence and control, leading some to complete an advance care plan. Advance care plans are commonly associated with treatment limitations; however, key patient agents (such as doctors, allied health, nurses and family) may instead make temporal, best interests or good medical practice decisions on behalf of the patient. Accordingly, there is a need to better understand ancillary decision-maker’s perspectives, particularly of doctors. The purpose of this analysis is to explain how the potentially conflicting interests of bedside patient agents operates as a factor which influences doctors’ application of advance care plans of people with a neurodegenerative disorder

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