Involvement of Cardiovascular Rehabilitation Programs in Advance Directive Education

Psychiatric wills are advance directives for an eventual involuntary treatment in psychiatry. We attempted to determine psychiatric professionals' knowledge and opinion about this legal option and obtain their formulations of advance directives for themselves. A total of 101 psychiatric nurses and psychiatrists at the Department of Psychiatry of the University of Vienna responded to a questionnaire about psychiatric wills and anonymously drafted advance directives for themselves concerning psychiatric treatment in case of an acute psychosis. Fifty-four percent knew about this legal option, 55% considered it an appropriate legal possibility, and 29% considered it inappropriate. The study also found that 75% of respondents reject certain methods of therapy, e.g. 30% want to exclude the use of neuroleptic medications, and 46% reject ECT. We conclude that although there is little experience so far with advance directives for psychiatric patients, there is an interest and predominance of positive attitudes towards this legal option among mental health professionals. Concerning their preferences, professionals felt inclined to make very specific statements as to which available treatment strategies they would reject and which they would request for their treatment. This bodes well for the widespread use of advance directives in mental health settings.

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Psychiatric wills of mental health professionals: a survey of opinions regarding advance directives in psychiatry

Amering

Denk

Griengl

et al. 1999

Social Psychiatry and Psychiatric Epidemiology

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Advance Directives in Cardiac and Pulmonary Rehabilitation Patients

Gerald

Sanderson

Fish

et al. 2000

Journal of Cardiopulmonary Rehabilitation

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These results indicate that only a minority of cardiopulmonary rehabilitation patients have advance directives upon entry into the program, and that the prevalence differs among gender, racial, and age groups. Cardiac and pulmonary rehabilitation programs may be valuable sites for educating patients about advance directives and efforts by rehabilitation personnel may increase the prevalence of advance directives among patients.

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End-of-Life Care Preferences of Patients Enrolled in Cardiovascular Rehabilitation Programs

Heffner

Barbieri

2000

Chest

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Involvement of Cardiovascular Rehabilitation Programs in Advance Directive Education

Abstract: Cardiac rehabilitation programs are potentially valuable but not widely used sites for educating patients with cardiac disease about advance directives.

Cited by 4 publications

References 31 publications

Psychiatric wills of mental health professionals: a survey of opinions regarding advance directives in psychiatry

Psychiatric wills of mental health professionals: a survey of opinions regarding advance directives in psychiatry

Advance Directives in Cardiac and Pulmonary Rehabilitation Patients

End-of-Life Care Preferences of Patients Enrolled in Cardiovascular Rehabilitation Programs

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