Surrogate Often Unaware of Tx Goals in Advance Care Planning

This article originally appeared here.
Share this content:
Surrogate Often Unaware of Tx Goals in Advance Care Planning
Surrogate Often Unaware of Tx Goals in Advance Care Planning

WEDNESDAY, March 22, 2017 (HealthDay News) -- There is considerable disagreement between patients and surrogates with regard to advance care planning (ACP), according to a study published online March 20 in the Journal of the American Geriatrics Society.

Terri R. Fried, M.D., from the VA Connecticut Healthcare System in West Haven, and colleagues examined patient and surrogate reports of ACP engagement and associations with surrogate knowledge of goals in a Veterans Affairs Medical Center. A total of 350 community-dwelling veterans age ≥55 years and the individual they would choose to make medical decisions on their behalf were interviewed separately. The participants were asked about living will and health care proxy completion and communication about life-sustaining treatment and quality versus quantity of life (QOL).

The researchers found that more than 40 percent of dyads agreed that the veteran had not completed a living will or health care proxy, and that there was no communication relating to QOL; a considerable proportion (18 to 34 percent) disagreed about participation for each of these activities. Among dyads that agreed QOL communication had occurred, 30 percent of surrogates had knowledge of treatment goals, compared with 21 and 15 percent in dyads who agreed communication had not occurred and in dyads who disagreed, respectively (P = 0.01). There was no correlation for other ACP activities with knowledge.

"Eliciting surrogates' perspectives is critical to ACP," the authors write. "Even dyads who agree about participation may need additional support for successful engagement."

Abstract
Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease


Sign up for myCME e-newsletters


More in Home

24-Hour Primary Care Clinics Would Improve Continuity of Care

24-Hour Primary Care Clinics Would Improve Continuity of ...

Model involving multiple doctors working shifts in their own clinic offers many benefits

Repeat BP Reading Needed in Children With Initial High Result

Repeat BP Reading Needed in Children With Initial ...

Based on initial reading, more than half of children would have incorrect classification

Brochure Can Improve Opioid Disposal Rates After Surgery

Brochure Can Improve Opioid Disposal Rates After Surgery

Patients more likely to dispose of unused opioids after getting information and recommendations

is free, fast, and customized just for you!

Already a member?

Sign In Now »