title: Use of a values history in approaching medical advance directives with psychiatric patients.
abstract: The Patient Self-Determination Act became federal law in 1990. However, many psychiatric facilities are just beginning to actively address the issue of medical advance directives. The term advance directives, for the purposes of this article, refers exclusively to medical advance directives. Psychiatric advance directives, which are related to issues such as involuntary hospitalization, are beyond the scope of this article.
mesh_terms: D016223:Advance Directives / Q000331:legislation & jurisprudence / Q000523:psychology*; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence / Q000592:standards*; D003657:Decision Making; D006801:Humans; D016743:Mental Competency; D001523:Mental Disorders / Q000451:nursing / Q000523:psychology; D028642:Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence / Q000523:psychology*; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D010344:Patient Advocacy; D010358:Patient Participation; D019726:Patient Self-Determination Act; D011568:Psychiatric Nursing / Q000592:standards*; D014481:United States