title: Moving beyond the Patient Self-Determination Act: educating patients to be autonomous.
abstract: This article explores the limitations of the Patient Self-Determination Act. We need to think of advance directives as a process of understanding, reflecting, and discussing, not just a written document. Further, health care professionals must initiate the process of advance directive education in the outpatient setting. Our dialysis unit has successfully integrated this view into daily care of patients and families.
authors.forename: E R
authors.initials: ER
authors.lastname: Colvin
authors.forename: M J
authors.initials: MJ
authors.lastname: Myhre
authors.forename: J
authors.initials: J
authors.lastname: Welch
authors.forename: B J
authors.initials: BJ
authors.lastname: Hammes
mesh_terms: D016223:Advance Directives / Q000331:legislation & jurisprudence; D000368:Aged; D003956:Dialysis / Q000451:nursing; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010344:Patient Advocacy / Q000331:legislation & jurisprudence; D010353:Patient Education as Topic; D010358:Patient Participation; D014481:United States