Implementing a Pilot Program of Advanced Directives in Nursing Homes

Abstract

This project focused on employing a comprehensive advance directive, called Five Wishes, that is suited to a process-oriented approach emphasizing a discussion of personal, social, and emotional needs in end-of-life care. With findings of a limited number of advance directives completed, the traditional explanation of the ‘onset of progressive deterioration’ among the residents is offered. Residents with low sense of self-efficacy is suggested as another explanation and one worthy of further research.