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1

Anonymous. "Patient Self-Determination Act Supported." Journal of Gerontological Nursing 16, no. 10 (October 1990): 47. http://dx.doi.org/10.3928/0098-9134-19901001-24.

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PARKMAN, CYNTHIA A. "The Patient Self-Determination Act." Nursing Management (Springhouse) 28, no. 10 (October 1997): 44???48. http://dx.doi.org/10.1097/00006247-199710010-00011.

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3

Soskis, Carole W., and Toba Schwaber Kerson. "The Patient Self Determination Act." Social Work in Health Care 16, no. 4 (August 31, 1992): 1–18. http://dx.doi.org/10.1300/j010v16n04_01.

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Kring, Daria L. "The Patient Self-determination Act." JONA's Healthcare Law, Ethics, and Regulation 9, no. 4 (October 2007): 125–31. http://dx.doi.org/10.1097/01.nhl.0000300767.91800.17.

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&NA;. "The Patient Self-determination Act." JONA's Healthcare Law, Ethics, and Regulation 9, no. 4 (October 2007): 132–33. http://dx.doi.org/10.1097/01.nhl.0000300772.04369.59.

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6

Fletcher, JohnC. "US Patient Self-Determination Act." Lancet 339, no. 8784 (January 1992): 60. http://dx.doi.org/10.1016/0140-6736(92)90184-5.

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7

McCloskey, Elizabeth Leibold. "The Patient Self-Determination Act." Kennedy Institute of Ethics Journal 1, no. 2 (1991): 163–69. http://dx.doi.org/10.1353/ken.0.0062.

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8

Haynor, Patricia M. "The Patient Self-Determination Act." Journal of Nursing Administration 26, no. 10 (October 1996): 47–55. http://dx.doi.org/10.1097/00005110-199610000-00012.

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9

White, Margot L. "The Patient Self-Determination Act." JAMA 266, no. 3 (July 17, 1991): 410. http://dx.doi.org/10.1001/jama.1991.03470030110035.

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Fletcher, John C. "The Patient Self-Determination Act: Yes." Hastings Center Report 20, no. 5 (September 1990): 33. http://dx.doi.org/10.2307/3562536.

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Pokalo, Cheryl. "Understanding the Patient Self-Determination Act." Journal of Gerontological Nursing 18, no. 3 (March 1, 1992): 47. http://dx.doi.org/10.3928/0098-9134-19920301-12.

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12

Idemoto, Bette K., Barbara J. Daly, Debra L. Eger, Barbara A. Lombardo, Terrie Matthews, Michelle Morris, and Stuart J. Toungner. "Implementing the Patient Self-Determination Act." AJN, American Journal of Nursing 93, no. 1 (January 1993): 20–25. http://dx.doi.org/10.1097/00000446-199301000-00010.

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13

White, Bruce David, Peter A. Singer, and Mark Siegler. "Continuing Problems with Patient Self-Determination." American Journal of Medical Quality 8, no. 4 (December 1993): 187–93. http://dx.doi.org/10.1177/0885713x9300800405.

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14

Ornery, Anna. "The New Patient Self-Determination Act." Dimensions of Critical Care Nursing 10, no. 3 (May 1991): 123–25. http://dx.doi.org/10.1097/00003465-199105000-00001.

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15

Perry, Clifton B., and William B. Applegate. "Medical Paternalism and Patient Self-determination." Journal of the American Geriatrics Society 33, no. 5 (May 1985): 353–59. http://dx.doi.org/10.1111/j.1532-5415.1985.tb07136.x.

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16

BURKE, MAX D. "Implementing the Patient Self-Determination Act." Nursing Management (Springhouse) 24, no. 11 (November 1993): 80I. http://dx.doi.org/10.1097/00006247-199311000-00017.

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17

Obade, C. C. "Patient self-determination and advance directives." Archives of Internal Medicine 155, no. 1 (January 9, 1995): 116a—117. http://dx.doi.org/10.1001/archinte.155.1.116a.

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18

Obade, Claire C. "Patient Self-determination and Advance Directives." Archives of Internal Medicine 155, no. 1 (January 9, 1995): 116. http://dx.doi.org/10.1001/archinte.1995.00430010124022.

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19

Capron, Alexander Morgan. "The Patient Self-Determination Act: Not Now." Hastings Center Report 20, no. 5 (September 1990): 35. http://dx.doi.org/10.2307/3562537.

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20

SAHLER, OLLE JANE Z., and JANE GREENLAW. "Pediatrics and the Patient Self-Determination Act." Pediatrics 90, no. 6 (December 1, 1992): 999–1001. http://dx.doi.org/10.1542/peds.90.6.999.

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On December 1, 1991, the requirements of a new federal law, the Patient Self-determination Act (PSDA), went into effect.1 The PSDA requires hospitals, nursing home facilities, hospices, home health care programs, and health maintenance organizations to give adults (in most states, individuals 18 years of age or older) information about their rights under the laws of their state to accept or refuse medical treatment; to prepare an advance directive such as a living will which states the individual's preferences for medical treatment under certain circumstances that might occur in the future, at
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21

Weiler, Kay. "Patient Self-Determination: Is Anyone Really Listening?" Journal of Gerontological Nursing 19, no. 10 (October 1, 1993): 42. http://dx.doi.org/10.3928/0098-9134-19931001-11.

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22

Lindberg, Jenny, Mats Johansson, and Linus Broström. "Temporising and respect for patient self-determination." Journal of Medical Ethics 45, no. 3 (December 10, 2018): 161–67. http://dx.doi.org/10.1136/medethics-2018-104851.

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The principle of self-determination plays a crucial role in contemporary clinical ethics. Somewhat simplified, it states that it is ultimately the patient who should decide whether or not to accept suggested treatment or care. Although the principle is much discussed in the academic literature, one important aspect has been neglected, namely the fact that real-world decision making is temporally extended, in the sense that it generally takes some time from the point at which the physician (or other health care professional) determines that there is a decision to be made and that the patient is
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23

Free, Mary Moore. "Patient Self-Determination Act: An Evolutionary Overview." Baylor University Medical Center Proceedings 5, no. 1 (January 1992): 27–32. http://dx.doi.org/10.1080/08998280.1992.11929773.

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24

Fung, Ling-Wai. "Implementing the Patient Self-Determination Act (PSDA)." Journal of Gerontological Social Work 22, no. 1-2 (November 28, 1994): 161–74. http://dx.doi.org/10.1300/j083v22n01_11.

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25

Gadow, Sally. "An ethical case for patient self-determination." Seminars in Oncology Nursing 5, no. 2 (May 1989): 99–101. http://dx.doi.org/10.1016/0749-2081(89)90067-3.

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26

Shapiro, Robyn. "Unanswered Questions Surrounding the Patient Self–Determination Act." Cambridge Quarterly of Healthcare Ethics 1, no. 2 (1992): 117–19. http://dx.doi.org/10.1017/s0963180100000207.

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The Patient Self-Determination Act (PSDA) imposes new requirements on health care providers for informing patients of their rights to make decisions concerning their medical care. The Act is intended to, and is likely to, encourage patients and residents of certain healhtcare facilities to consider their treatment preferences in advance of incapacity and, in particular, to determine the circumstances in which life-sustaining treatment will be provided to them. However, many questions concerning how healthcare providers will implement the Act remain unanswered.
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27

Leahman, Dee. "Why the Patient Self-Determination Act Has Failed." North Carolina Medical Journal 65, no. 4 (July 2004): 249–51. http://dx.doi.org/10.18043/ncm.65.4.249.

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28

KATO, ICHIRO. "The right of self-determination by a patient." Japanese Journal of Rehabilitation Medicine 27, no. 1 (1990): 21–27. http://dx.doi.org/10.2490/jjrm1963.27.21.

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29

Holst, Lawrence. "The Patient Self-Determination Act - Problems and Opportunities." Caregiver Journal 8, no. 3 (September 1991): 3–8. http://dx.doi.org/10.1080/1077842x.1991.10781625.

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30

HASSMILLER, SUE. "Bringing the Patient Self- Determination Act Into Practice." Nursing Management (Springhouse) 22, no. 12 (December 1991): 29–32. http://dx.doi.org/10.1097/00006247-199112000-00010.

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31

Murphy, Ellen K. "Advance directives and the Patient Self-Determination Act." AORN Journal 55, no. 1 (January 1992): 270–72. http://dx.doi.org/10.1016/s0001-2092(07)69075-9.

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32

Cox, Deon M., and Greg A. Sachs. "Advance Directives and The Patient Self-determination Act." Clinics in Geriatric Medicine 10, no. 3 (August 1994): 431–43. http://dx.doi.org/10.1016/s0749-0690(18)30331-8.

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33

Gelwick, Richard. "The patient self determination act and ?Dax's Case?" Journal of Medical Humanities 13, no. 3 (1992): 177–87. http://dx.doi.org/10.1007/bf01127376.

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34

Grant, Kenneth D. "The Patient Self-Determination Act: Implications for Physicians." Hospital Practice 27, no. 1 (January 15, 1992): 38–48. http://dx.doi.org/10.1080/21548331.1992.11705340.

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35

Duke, Gloria, Susan Yarbrough, and Katherine Pang. "The Patient Self-Determination Act: 20 Years Revisited." Journal of Nursing Law 13, no. 4 (December 1, 2009): 114–23. http://dx.doi.org/10.1891/1073-7472.13.4.114.

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36

Pope, Thaddeus Mason. "Legal Briefing: The New Patient Self-Determination Act." Journal of Clinical Ethics 24, no. 2 (June 1, 2013): 156–67. http://dx.doi.org/10.1086/jce201324209.

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37

Uzych, L. "The Patient Self-Determination Act: Meeting the Challenges in Patient Care." JAMA: The Journal of the American Medical Association 283, no. 18 (May 10, 2000): 2454. http://dx.doi.org/10.1001/jama.283.18.2454.

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38

Young, Ernlé W. D., and Shelli A. Jex. "The Patient Self-Determination Act: Potential Ethical Quandaries and Benefits." Cambridge Quarterly of Healthcare Ethics 1, no. 2 (1992): 107–15. http://dx.doi.org/10.1017/s0963180100000190.

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As Part of the Omnibus Budget Reconciliation Act of 1990, the Patient Self Determination Act (PSDA) legislates new responsibilites for healthcare facilities. The authors served as members of the California Consortium on Patient Self-Determination, and the materials produced by this group offer healthcare facilities a valuable guide for implementing the PSDA. The ACt follows a historical trend led by doctrines of informed consent and increasing patient autonomy regarding rights to accept or refuse medical treatment and to execute advance directives. The requirements of the Act will influence he
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39

Pugh, Donna, and Daniel J. West. "Advance Directives and the Self-Determination Act: A Patient's Perspective." OMEGA - Journal of Death and Dying 30, no. 4 (January 1, 1995): 249–56. http://dx.doi.org/10.2190/4wvf-11uv-h7cb-kgfw.

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Advance Directives were created by Congress in an attempt to better serve the needs of patients in long term care and acute care settings. The Patient Self-Determination Act of 1990 was an excellent concept to further patient rights, but the Act did not present necessary guidelines to insure uniform implementation. Healthcare providers were given flexibility in designing and implementing policies and procedures to operationalize the Act. However, key Professionals are not actively participating in the implementation. Examined are patients' perspectives and ideas on how professionals should be
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40

Idemoto, Bette K., Barbara J. Daly, Debra L. Eger, Barbara A. Lombardo, Terrie Matthews, Michelle Morris, and Stuart J. Youngner. "Dilemmas in Practice: Implementing the Patient Self-Determination Act." American Journal of Nursing 93, no. 1 (January 1993): 20. http://dx.doi.org/10.2307/3427075.

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41

Madson, Susan K. "PATIENT SELF-DETERMINATION ACT: Implications for Long-Term Care." Journal of Gerontological Nursing 19, no. 2 (February 1, 1993): 15–18. http://dx.doi.org/10.3928/0098-9134-19930201-06.

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42

Marsden, C. "Making patient self determination a reality in critical care." American Journal of Critical Care 1, no. 1 (July 1, 1992): 122–24. http://dx.doi.org/10.4037/ajcc1992.1.1.122.

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43

PARK, DENISE C., THOMAS A. EATON, EDWARD J. LARSON, and HELEN T. PALMER. "Implementation and Impact of the Patient Self-Determination Act." Southern Medical Journal 87, no. 10 (October 1994): 971–77. http://dx.doi.org/10.1097/00007611-199410000-00002.

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44

Tippett, Donna C., and Jeremy Sugarman. "Discussing Advance Directives Under the Patient Self-Determination Act." American Journal of Speech-Language Pathology 5, no. 2 (May 1996): 31–34. http://dx.doi.org/10.1044/1058-0360.0502.31.

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45

McCloskey, Elizabeth. "Between Isolation and Intrusion: The Patient Self-Determination Act." Law, Medicine and Health Care 19, no. 1-2 (March 1991): 80–82. http://dx.doi.org/10.1111/j.1748-720x.1991.tb01800.x.

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46

Thobaben, Marshelle, and Colleen Proctor. "Patient self-determination act: Advocating for the patient's wishes." Home Care Provider 1, no. 3 (May 1996): 157–58. http://dx.doi.org/10.1016/s1084-628x(96)90031-3.

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47

Weber, Gloria, and Diane K. Kjervik. "The patient self-determination act—The nurse's proactive role." Journal of Professional Nursing 8, no. 1 (January 1992): 6. http://dx.doi.org/10.1016/8755-7223(92)90111-b.

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48

Osman, Hana, and Terry M. Perlin. "Patient Self-Determination and the Artificial Prolongation of Life." Health & Social Work 19, no. 4 (November 1994): 245–52. http://dx.doi.org/10.1093/hsw/19.4.245.

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49

Wolf, Susan M., Philip Boyle, Daniel Callahan, Joseph J. Fins, Bruce Jennings, James Lindemann Nelson, Jeremiah A. Barondess, et al. "Sources of Concern about the Patient Self-Determination Act." New England Journal of Medicine 325, no. 23 (December 5, 1991): 1666–71. http://dx.doi.org/10.1056/nejm199112053252334.

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50

Obade, Claire C. "The Patient Self-Determination Act: Right Church, Wrong Pew." Journal of Clinical Ethics 1, no. 4 (December 1, 1990): 320–22. http://dx.doi.org/10.1086/jce199001418.

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