BackgroundThe participation of the people in health decisions may be structured in various levels. One of these is participation in decisions for the treatment. “Advanced directives” is one of the examples for the participation in decisions for the treatment.AimWe wanted to determine the decisions on advanced life support at the end-stage of life in case of a life-threatening illness for the people themselves and their first degree relatives and the factors effecting these decisions.Design and settingThe cross-sectional study was conducted with volunteers among patients and patient relatives who applied to all polyclinics of the Ankara Numune Training and Research Hospital except the emergency, oncology and psychiatry polyclinics between 15.12.2012 and 15.03.2013.MethodA questionnaire, the Hospital Anxiety Depression (HAD) scale, and Templer’s Death Anxiety Scale (TDA) were applied to all individuals. SPSS for Win. Ver. 17.0 and MS-Excel 2010 Starter software bundles were used for all statistical analysis and calculations.ResultsThe participants want both themselves and their first degree relatives included in end-stage decision-making process. Therefore, the patients and their families should be informed adequately during decision making process and quality communication must be provided.ConclusionParticipants who have given their end-stage decisions previously want to be treated according to these decisions. This desire can just be possible by advanced directives.When moral and material loads of end-stage process are taken into consideration, countries, in which advanced directives are practiced, should be examined well and participants’ desire should be evaluated in terms of practicability.

No abstract

No abstract

The family physicians are the individuals who constitute the first contact point with patients and take position in primary care. On behalf of family physicians are dominating by a wide range of disease groups, reveal the awareness of the anticoagulant therapy and monitoring necessary. Materials and Methods: Research was planned as an observational, cross sectional survey. Surveys were hand out to family physician residents in Ankara. 143 participants answering the questions of survey without any reserve from assistant family physician, who were invited to our study date between 15/10/2014 and 12/01/2014, were incorporated. Results: Only 8.4% of the residents stated that they attended a training on anticoagulant therapy and follow-up. We pick out that participants who attend training have more accurate answer to questions which intended to measure awareness and knowledge. Those constituted the majority who has not completed 10 years in their medical profession. The correct answer rates of the group that we call young physicians were higher. Conclusion:With this research, the awareness about anticoagulant therapy and monitoring and lack of education are reveal. With the researches supporting this study, identifying the lacking issues that residents of family physicians' awareness then making education plans intended to these issues and better equipped family physician residents giving medical service will be provided.