caa a22 4500 388052929 CHVBK 20180307125058.0 cr unu---uuuuu 161130s1998 xx s 000 0 eng 10.1017/S0714980800010333 doi S0714980800010333 pii (NATIONALLICENCE)cambridge-10.1017/S0714980800010333 A New Health Care Directive for Long-Term Care Elderly based on Personal Values of Life [Elektronische Daten] Determining the appropriate intensity of investigation and treatment for individual elderly patients in long-term care settings can present a significant challenge to physicians, especially when patients are incompetent to decide for themselves. However, respecting established intervention levels may represent an even greater challenge, given the realities of coverage by on-call physicians. This paper describes a new Intervention Level Scale for competent as well as incompetent long-term care elderly, and its validation as a communication tool between attending and on-call physicians. Specifically studied were (a) concordance of interventions, (b) whether prior knowledge of an intervention level by an on-call physician was considered useful, (c) applicability of the scale in different institutions and (d) necessity of physician training for optimal use. The scale's uniqueness resides in the fact that it is based on personal values of life, rather than institutional resources, and it incorporates directives on family contact. Copyright © Canadian Association on Gerontology 1998 Elderly nationallicence Long-Term Care nationallicence Advance Directive nationallicence Health Care Directive nationallicence Intervention Level Scale nationallicence Ethics nationallicence Aîné(e)s nationallicence soins de longue durée nationallicence directive préalable nationallicence directive en matière de santé nationallicence échelle de niveaux d'intervention nationallicence morale nationallicence Nazerali Najmi Centre hospitalier Côte-des-Neiges Ska Bernadette Université de Montréal Lajeunesse Yvette Centre hospitalier Côte-des-Neiges Canadian Journal on Aging / La Revue canadienne du vieillissement Cambridge University Press 17/1(1998), 24-39 0714-9808 17:1<24 1998 17 CJG https://doi.org/10.1017/S0714980800010333 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0714980800010333 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nazerali Najmi Centre hospitalier Côte-des-Neiges NATIONALLICENCE 700 1- Ska Bernadette Université de Montréal NATIONALLICENCE 700 1- Lajeunesse Yvette Centre hospitalier Côte-des-Neiges NATIONALLICENCE 773 0- Canadian Journal on Aging / La Revue canadienne du vieillissement Cambridge University Press 17/1(1998), 24-39 0714-9808 17:1<24 1998 17 CJG CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge