Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2000-11-29
pubmed:abstractText
During a serious medical illness, several factors, including perceived quality of life, social support, functional disability, severity of illness, and presence of depressive symptoms, influence desire for life-saving treatments such as cardiopulmonary resuscitation (CPR), mechanical ventilation, tube feeding, and intravenous fluids. The authors examined the influence of depression and hopelessness on preferences for life- saving treatment in older, medically ill male patients in the medical service of a Veterans Administration Medical Center. Subjects with high levels of hopelessness desired less life-saving treatment during their current illness; they were at least five times more likely to refuse CPR if required during the current hospitalization. This effect remained statistically significant after removing confounds of race, education, and religiosity. The diagnosis of major depression did not significantly influence the desire for life-saving treatment. Our findings suggest that psychiatrists should assess patients for severity of hopelessness when evaluating decision-making capacity in the context of intervention refusal.
pubmed:keyword
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
E
pubmed:status
MEDLINE
pubmed:issn
1064-7481
pubmed:author
pubmed:issnType
Print
pubmed:volume
8
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
333-42
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
2000
pubmed:articleTitle
Depression, hopelessness, and the desire for life-saving treatments among elderly medically ill veterans.
pubmed:affiliation
Mental Health Clinical Center, Department of Veterans Affairs, MarylandHealth Care System, Baltimore, MD, USA.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, U.S. Gov't, Non-P.H.S.