Promoting Advance Directive Discussions

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Authors

  • James S. Powers Tennessee Valley Healthcare System, Geriatric Research Education and Clinical Center, Nashville,Tennessee 37232, USA; Vanderbilt University School of Medicine, Nashville,Tennessee, USA

DOI:

https://doi.org/10.17140/PMHCOJ-6-e010

Abstract

Advance care planning (ACP) which includes a discussion of goals of care and preferences about future care improves patient-centered care at the end-of-life. However, completion of ACP remains low with an estimated 36.7% of adults having com-pleted an advance directive in the United States1 and this number is lower in many other societies worldwide.

References

Yadav KN, Gabler NB, Cooney E, Kent S, Kim J, Herbst N, et al. Approximately one in three US adults completes any type of advance directive for end-of-life care. Health Aff (Millwood). 2017; 36(7): 1244-1251. doi: 10.1377/hlthaff.2017.0175

Powers JS, Abraham L. Outpatient–focused advance care plan-ning: Telehealth consultation for geriatric primary care patients. Palliat Med Hosp Care Open J. 2019; 5(2): 23-26. doi: 10.17140/PM-HCOJ-5-133

Patel MI, Sundaram V, Desai M, Periyakoil VS, Kahn JS, Bhat-tacharya J, et al. Effect of a lay health worker intervention on goals-of-care documentation and on health care use, costs, and satisfaction among patients with cancer: A randomized clinical trial. JAMA Oncol. 2018; 4(10): 1359-1366. doi: 10.1001/jamaon-col.2018.2446.1934

Gupta A, Jin G, Reich A, Prigerson HG, Ladin K, Kim D, et al. Association of billed advance care planning with end-of-life care intensity for 2017 medicare decedents. J Am Geriatr Soc. 2020. doi: 10.1111/jgs.16683

Abel J, Kellehear A. Palliative care reimagined: A needed shift. BMJ Support Palliat Care. 2016; 6(1): 21-26. doi: 10.1136/bmjsp-care-2015-001009 e3

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Published

2020-12-01

How to Cite

James S. Powers. (2020). Promoting Advance Directive Discussions. Palliative Medicine and Hospice Care, 6(2), e3. https://doi.org/10.17140/PMHCOJ-6-e010

Issue

Vol. 6 No. 2 (2020): Volume 6 Issue 2 2020

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

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