Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 263

Although the evidence is not strong that advance directives make a difference in outcomes (e.g. one study showed that systematic implementation of a programme to increase the use of advance directives reduced the utilization of healthcare services without affecting satisfaction or mortality),²⁹ there are ways to increase discussions and completions of advance directives.^21,30 Clinicians should take care to ensure that underlying depression does not underlie patient preferences or decisions.

Advance directives are especially important for patients in the Frail, Moderately Demented, and End of Life categories.