End-of-Life Decision-Making Capacity in Older People With Serious Mental Illness
Bibliographic Data
| ID | 15516888 |
|---|---|
| Authors | Carla Kotzé (0000-0002-5015-9293, Weskoppies Psychiatric Hospital, corresponding author), Johannes L Roos (0000-0002-0572-1072, University of Pretoria), René Ehlers (0000-0002-9105-8480, University of Pretoria) |
| Year | 2021 |
| Volume | 12 |
| Pages | 752897-752897 |
| Publication date | 2021-09-22 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2021.752897 |
| PMID | 34630189 |
| OpenAlex | W3200823652 |
| Language | EN |
| Citations received | 1 |
| References cited | 54 |
Background: The study's main aim was to assess the end-of-life decision-making capacity and health-related values of older people with serious mental illness. Methods: A cross-sectional, observational study, was done at Weskoppies Psychiatric Hospital, Gauteng Province, South Africa that included 100 adults older than 60 years of age and diagnosed with serious mental illness. The Mini-Cog and a semi-structured clinical assessment of end-of-life decision-making capacity was done before a standardized interview, Assessment of Capacity to Consent to Treatment, was administered. This standardized instrument uses a hypothetical vignette to assess decision-making capacity and explores healthcare-related values. Results: The Assessment of Capacity to Consent to Treatment scores correlated ( p p p = 0025); having a diagnosis of schizophrenia spectrum disorders ( p = 0.0007); and being admitted involuntarily ( p Discussion and Conclusion: Healthcare providers have a duty to initiate advance care discussions, optimize decision-making capacity, and protect autonomous decision-making. Many older patients with serious mental illness can engage in end-of-life discussions and can make autonomous decisions about preferred end-of-life care. Chronological age or diagnostic categories should never be used as reasons for discrimination, and older people with serious mental illness should receive end-of-life care in keeping with their preferences and values
Alternative medicine · Informed consent · Mental capacity · Mental health · Mental illness · Observational study · Palliative care · Psychiatry · Psychological intervention · Schizophrenia (object-oriented programming · Vignette · Healthcare Decision-Making and Restraints · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Psychology
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,25 |
| Citation span | 2022 - 2022 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |