Medical decision making for older adults: an international perspective comparing the United States and India

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Medical decision making for older adults: an international perspective comparing the United States and India

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Title: Medical decision making for older adults: an international perspective comparing the United States and India
Author: Kalra, Ankur; Forman, Daniel E; Goodlin, Sarah J

Note: Order does not necessarily reflect citation order of authors.

Citation: Kalra, Ankur, Daniel E Forman, and Sarah J Goodlin. 2015. “Medical decision making for older adults: an international perspective comparing the United States and India.” Journal of Geriatric Cardiology : JGC 12 (4): 329-334. doi:10.11909/j.issn.1671-5411.2015.04.003. http://dx.doi.org/10.11909/j.issn.1671-5411.2015.04.003.
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Abstract: There has been a significant decline in cardiovascular morbidity and mortality amidst pervasive advances in care, including percutaneous revascularization, mechanical circulatory support, and transcatheter valvular therapies. While advancing therapies may add significant longevity, they also bring about new end-of-life decision-making challenges for patients and their families who also must weigh the advantages of reduced mortality to the possibility of longer lives consisting of high morbidity, frailty, pain, and poor quality of living. Advance care entails options of withholding or withdrawing therapies, and has become a familiar part of cardiovascular care for older patients in Western countries. However, as advanced cardiovascular practices extend to developing countries, the interrelated concept of advance care is rarely straight forward as it is affected by local cultural traditions and mores, and can lead to very different inferences and use. This paper discusses the concepts of advance care planning, surrogate decision-making, orders for resuscitation and futility in patients with cardiac disease with comparisons of West to East, focusing particularly on the United States versus India.
Published Version: doi:10.11909/j.issn.1671-5411.2015.04.003
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4554781/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:22856986
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