title: "A place like that": advance directives and nursing home admissions.
abstract: Decisions about admitting a mentally incapacitated person to a nursing home raise a variety of difficult legal, ethical, and public policy issues. A strategy for anticipating and addressing this contingency prospectively, by encouraging execution of formal advance planning directives while the individual is still capable, may mitigate some of the dilemmas associated with these issues. The author discusses the contours and feasibility of such a strategy, analyzing nursing home admission on one's behalf and for refusing such admission, or placing explicit conditions on such admission, in advance of the time that the actual decision must be made.
authors.affiliation: Office of Geriatric Medicine and Gerontology, Wright State University, Box 927, Dayton, Ohio 45401-0927, USA.
authors.forename: M B
authors.initials: MB
authors.lastname: Kapp
mesh_terms: D016223:Advance Directives / Q000331:legislation & jurisprudence; D000368:Aged; D026686:Beneficence; D003657:Decision Making; D003704:Dementia; D006801:Humans; D007258:Informed Consent; D016743:Mental Competency; D028642:Persons with Psychiatric Disorders; D009735:Nursing Homes; D010343:Patient Admission; D026684:Personal Autonomy; D019727:Proxy; D014481:United States