Do advance care directives improve acute care services for older people?

Andrew W Holt and Alnis E Vedig
Med J Aust 2006; 185 (7): . || doi: 10.5694/j.1326-5377.2006.tb00625.x
Published online: 2 October 2006

To the Editor: Recent articles in the Journal by Kurrle1 and Finn and colleagues2 referred to advance care directives aiding the management of acute illness in elderly residents of aged care facilities. It is our experience that these directives are often unhelpful in elderly patients and, outside certain progressive medical conditions, can result in triage of elderly patients to inappropriate lower levels of care.

  • Department of Critical Care Medicine, Flinders Medical Centre, Adelaide, SA.


  • 1. Kurrle SE. Improving acute care services for older people [editorial]. Med J Aust 2006; 184: 427-428. <MJA full text>
  • 2. Finn JC, Flicker L, Mackenzie E, et al. Interface between residential aged care facilities and a teaching hospital emergency department in Western Australia. Med J Aust 2006; 184: 432-435. <MJA full text>


remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.