NDLI: Morir con dignidad. Estudio sobre voluntades anticipadas.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Nebot, Cristina Ortega, Blas Mira, José Joaquín Ortiz, Lidia
Spatial Coverage	Spain
Description	Author Affiliation: Nebot C ( Dirección General de Calidad y Atención al Paciente, Consellería de Sanitat, Valencia, España. Nebot_cri@gva.es)
Abstract	OBJECTIVE: To describe the profile of persons who exercise their right to draw up a living will, to analyze physicians' knowledge of living wills and attitudes toward them, and to compare the regulations pertaining to this right in the distinct autonomous regions of Spain. METHOD: A descriptive study that included an analysis of a systematic sample of 931 living wills registered in the autonomous region of Valencia (Spain), a self-administered structured questionnaire administered to a sample of 84 physicians working in emergency departments and intensive care units (45% response rate), and a comparison of the regional legislation covering living wills. RESULTS: A total of 1.6% of inhabitants aged 16 or over had registered a living will (female/male ratio: 1.8/1). Most (73.8%) used a standard document drawn up by a particular religious faith. The most common reasons for writing a living will were to limit therapeutic efforts (99%) and obtain pain-relieving drugs (98%). Although 61 physicians (72.6%) frequently attended the terminally ill, only 6% consulted the register of living wills in these situations and 28% did not know how to consult this register. There is wide variation among regions in the minimum age for registering a living will, in the procedure to be followed if the signer is pregnant, in designating a person as having the authority to make a living will, and in the number of registration points available to deposit living wills. CONCLUSIONS: Most persons registering a living will are healthy individuals with a particular religious faith who reject certain treatments. Most health professionals do not check whether critically ill patients have made a living will. Exercising the rights contained in living wills is complicated by the diversity of criteria among different regions.
Related Links	http://www.scielosp.org/scielo.php?script=sci_arttext&nrm=iso&lng=pt&tlng=pt&pid=S0213-91112010000600002
File Format	HTM / HTML
ISSN	02139111
Issue Number	6
Volume Number	24
e-ISSN	15781283
Journal	Gaceta Sanitaria
Language	Spanish
Publisher	Elsevier
Publisher Date	2010-11-01
Publisher Place	Spain
Access Restriction	Subscribed
Subject Keyword	Discipline Public Health Attitude Of Health Personnel Health Knowledge, Attitudes, Practice Living Wills Physicians Right To Die Adolescent Adult Aged Aged, 80 And Over Cross-sectional Studies Female Humans Male Middle Aged Spain Questionnaires Young Adult Comparative Study English Abstract Journal Article
Alternative Title	Dying with dignity. A study of living wills
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health

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