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While there is strong recognition of the benefits of undertaking advance directives with over 60% of respondents agreed that it is preferable to express their wishes regarding the appointment of a proxy for care decisions, appointment of a legal administrator of property, stating preferences regarding one's property and funeral arrangements, less than 10% of them had already done so (Table 2).
Questionnaire items include those relating to how they would like their treatment preferences to be made (verbally or in writing), the appointment of a proxy for health care decision-making, and the appointment of a legal executor for dealing with property, and statement of preferences regarding disposal of property and funeral arrangements.
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In this study we evaluate the timing for appointment of a legal proxy in Italy and identify predictive variables of appointment.
The neurologist illustrated the clinical reasons why a person with dementia may present limitations of the decisional capacity, which may render necessary the appointment of a legal proxy.
This is compatible with the slightly higher educational level of the patients who started up the procedure of appointment of a legal proxy.
It is to note that the appointment of a legal proxy would have had no advantage nor any disadvantage for these patients as regarding the possibility to receive a beneficial treatment.
This view seems supported by the statistical association among the appointment of a legal proxy and the patient's use of memantine (OR 4.93; 95% CI 1.01 24.12) and a quasi-significant association with the patient's use of AChE-Is (OR 2.14; 95% CI 0.89 5.18).
In this study we want to verify how does the Italian law 6/2004 work and more precisely: Evaluate the timing and procedure for the appointment of a patient's legal proxy according to the law 6/2004; Identify the predictive variables of the appointment of the legal proxy according to the law 6/2004.
For example, one may suppose that countries where courts are not involved in the appointment of a patient's proxy are more attractive for dementia research, as courts involvement may slow down the process of appointment of the proxy and hence of obtainment of the informed consent.
In many ways, whether people support or oppose her appointment has become a proxy for what they think of the mayor and his imperial style of running the city.
Sampson et al [ 53] describe one early form of advance care planning in the United Kingdom (UK) and Australia, through examples of where a Power of Attorney (over financial matters) and 'Let me Decide' programme enabled the appointment of an attorney to make proxy decisions when the person with dementia no longer had capacity.
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