Advance Directives for Truth Disclosure

Keating, D.; Nayeem, Kayser; Gilmartin, J J; O’Keeffe, Shaun T.

doi:10.1378/chest.128.2.1037

Cited by 32 publications

(23 citation statements)

References 16 publications

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“…A smaller (but still substantial) proportion want to know detailed prognostic information but less so when this information is not favourable. Interestingly, on direct questioning, the proportion wanting to know a diagnosis of cancer and the proportion wanting to know a diagnosis of dementia appear very similar [72,104]. There may be very valid reasons why a patient does not want to be labelled with a potentially stigmatising diagnostic term, but this has to be weighed against the benefits of greater insight into their symptoms, ability to access NHS treatment and ability to plan for the future.…”

Section: Discussionmentioning

confidence: 99%

Reluctance to disclose difficult diagnoses: a narrative review comparing communication by psychiatrists and oncologists

Mitchell

2007

Support Care Cancer

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Psychiatrists and general practitioners may be equally reluctant to reveal difficult diagnoses and prognoses of conditions such as schizophrenia and dementia. The reluctance to reveal a difficult diagnosis may be a routine, but little acknowledged the aspect of medical care that should be incorporated into undergraduate and postgraduate education and openly discussed during peer group supervision.

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Section: Discussionmentioning

confidence: 99%

Reluctance to disclose difficult diagnoses: a narrative review comparing communication by psychiatrists and oncologists

Mitchell

2007

Support Care Cancer

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“…It has also 31 These directives, though by no means a perfect solution, could be similar to those designed for disclosing a disease. See Keeting et al (2005). 32 See also Mordini et al (2009) on limited guarantees of informed consent.…”

Section: Discussionmentioning

confidence: 99%

Ethical frontiers of ICT and older users: cultural, pragmatic and ethical issues

McLean

2011

Ethics Inf Technol

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The reality of an ageing Europe has called attention to the importance of e-inclusion for a growing population of senior citizens. For some, this may mean closing the digital divide by providing access and support to technologies that increase citizen participation; for others, e-inclusion means access to assistive technologies to facilitate and extend their living independently. These initiatives address a social need and provide economic opportunities for European industry. While undoubtedly desirable, and supported by European Union initiatives, several cultural assumptions or issues related to the initiatives could benefit from fuller examination, as could their practical and ethical implications. This paper begins to consider these theoretical and practical concerns. The first part of the paper examines cultural issues and assumptions relevant to adopting e-technologies, and the ethical principles applied to them. These include (1) the persistence of ageism, even in e-inclusion; (2) different approaches to, and implications of independent living; and(3) the values associated with different ethical principles, given their implications for accountability to older users. The paper then discusses practical issues and ethical concerns that have been raised by the use of smart home and monitoring technologies with older persons. Understanding these assumptions and their implications will allow for more informed choices in promoting ethical application of e-solutions for older persons.

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“…Compte tenu de la grande variabilité dans la perception et l'adaptation à l'annonce d'une mauvaise nouvelle, certains suggè rent d'interroger tout patient hospitalisé auquel on pourrait potentiellement annoncer un diagnostic de cancer, sur la faç on dont il souhaiterait qu'une telle annonce soit faite [21]. Cela pourrait é viter des incompré -hensions.…”

Section: La Perspective Du Mé Decinunclassified