ADVANCE DIRECTIVES--PRINCIPLES AND PRACTICE References/Handouts Prepared for Advance Directive Seminar, Batavia, NY, April 22, 1993 Copyright 1996 Robert S. Stall, MD Available from Dr. Stall's WWW Home Page--Posted January 1, 1996 (http://www.acsu.buffalo.edu/~drstall/index.html) Life-Sustaining Treatment: Making Decisions and Appointing a Health Care Agent, The New York State Task Force on Life and the Law, July, 1987 (180 pages, paperback). Good overview of arguments (with references to case law) made by the Task Force to arrive at their final recommendations. Executive Summary summarizes major points (importance of physician-patient dialogue, informed consent, patient right to self- determination; affirmation of the value of life and the disallowance of euthanasia). Advance Medical Directives: A Guide to Living Wills and Powers of Attorney for Health Care for Physicians, American Medical Association, 1992 (5 page pamphlet). Describes for physicians a step-by-step approach to discussing, completing, and documenting advance directives with patients in your office. Advance Medical Directives: A Guide to Living Wills and Powers of Attorney for Health Care for Patients, American Medical Association, 1992 (13 page pamphlet). Describes for patients the rationale for advance directives in easy-to-understand language. Physicians will find the question and answer format useful in anticipating and responding to common patient questions. Has limited usefulness as a patient handout since it addresses advance directives from the Federal perspective and does not describe the specific options available in NYS. "Effects of Offering Advance Directives on Medical Treatment and Costs", Schneiderman, Lawrence J., et al, Annals of Internal Medicine, 1992;117:599-606. "Adding Injustice to Injury: Compulsory Payment for Unwanted Treatment", Annas, George J., JD, MPH, NEJM, December 24, 1992; 327(26):1885-1887. "Trends in Medicare Payments in the Last Year of Life", Lubitz, James D., MPH, et al, NEJM, April 15, 1993, 328(15):1092-1096. "1990 and Beyond: The Genie out of the Bottle", Cohen, Cynthia B., et al, Hastings Center Report, September/October 1990, 33-38. "DNR in the OR", Walker, Robert M., MD, JAMA, November 6, 1991, 266(17):2407-2412. "Do-Not-Resuscitate Orders in the Operating Room", Cohen, Cynthia B., PhD, JD, NEJM, December 26, 1991, 325(26):1879-1882. Nonhospital Order Not to Resuscitate (DNR), NYS Department of Health, DOH-3474, 2/92. Official form for documenting outpatient DNR orders. Deciding about CPR: Do-Not-Resuscitate Orders (DNR), NYS Department of Health, 10/92. Explanatory brochure about CPR and DNR for patients and families. Medical Ethics: A Clinical Textbook and Reference for the Health Care Profession, "Chapter 18: Ethical Issues in the Care of the Elderly", Abrams, Natalie and Buckner, Michael D., Editors, Cambridge, MA, MIT Press, 1988, 457-471. Describes major ethical prinicples and major topics for ethical decisions. DNR Law Amendments OK Non-Hospital, Oral DNR Orders, MSSNY Special Report, 10/92, p. 8. Advance Medical Directives, Lieberson, Alan D., MD, JD, Rochester, NY, Clark, Boardman, and Callaghan, 1992, 164, 172-175. Summarizes Cruzan Supreme Court Decision. On p. 164 Justice Scalia addresses the question about who can decide when "life becomes 'worthless'" Medicine at the Crossroads, PBS Series, 8 parts, April 5-May 24, 1993, Mondays, 9-11 pm. "The Periodic Health Examination: Ages 65 and Over", Guide to Clinical Preventive Services: Report of the US Preventive Services Task Force, Williams & Wilkins, 1989.