Journal of Geriatric Psychiatry and Neurology

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

SAGETRACK

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Karlawish, J. H. T.
Right arrow Articles by Clark, C. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Karlawish, J. H. T.
Right arrow Articles by Clark, C. M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Journal of Geriatric Psychiatry and Neurology, Vol. 15, No. 2, 68-72 (2002)
DOI: 10.1177/089198870201500203

Relationship between Alzheimer's Disease Severity and Patient Participation in Decisions about Their Medical Care

Jason H. T. Karlawish, MD

David Casarett, MD, MA

Kathleen Joy Propert, ScD

Bryan D. James

M. Bioethics

Christopher M. Clark, MD

To examine the relationships between Alzheimer's disease (AD) severity and patient participation in decisions about their medical care, we performed a cross-sectional study of 74 caregivers' ratings of the degree to which AD patients participate in making decisions about their medical care. The majority of the caregivers reported that they made the final decisions about medical care (n = 48, 64%), one-quarter (n = 19, 26%) reported an equal role, and a small proportion (n = 7, 9%) reported that the patient made the final decisions. Multivariate models showed that the sig nificant predictors of the patient's participation in decisions about medical care were measures of dementia severity: Mini-Mental State Examination (MMSE) and Clinical Dementia Rating (CDR). Patients with mild-stage disease (CDR = 1 or MMSE ≥ 20) are involved in decision making largely in a collaborative role with the caregiver. Beyond mild-stage disease, the clinician can largely expect that the caregiver is making the final decisions. These results illustrate how and when caregivers can expect changes in their decision making role. (J Geriatr Psychiatry Neurol 2002; 15:68-72).


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 AJGPHome page
K. B. Hirschman, C. M. Joyce, B. D. James, S. X. Xie, D. J. Casarett, and J. H.T. Karlawish
Would Caregivers of Alzheimer Disease Patients Involve Their Relative in a Decision to Use an AD-Slowing Medication?
Am J Geriatr Psychiatry, November 1, 2005; 13(11): 1014 - 1021.
[Abstract] [Full Text] [PDF]

Home page
 GerontologistHome page
K. B. Hirschman, C. M. Joyce, B. D. James, S. X. Xie, and J. H. T. Karlawish
Do Alzheimer's Disease Patients Want to Participate in a Treatment Decision, and Would Their Caregivers Let Them?
Gerontologist, June 1, 2005; 45(3): 381 - 388.
[Abstract] [Full Text] [PDF]

Home page
 J Geriatr Psychiatry NeurolHome page
K. B. Hirschman, S. X. Xie, C. Feudtner, and J. H. T. Karlawish
How Does an Alzheimer's Disease Patient's Role in Medical Decision Making Change Over Time?
J Geriatr Psychiatry Neurol, June 1, 2004; 17(2): 55 - 60.
[Abstract] [PDF]