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 »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

CDC Warns of Polio-Like Virus Striking More U.S. Children

CDC Warns of Polio-Like Virus Striking More U.S. ...

127 cases reported in 22 states so far this year with 62 confirmed as acute flaccid myelitis

Harvard: Heart Researcher's Papers Contain Fraudulent Data

Harvard: Heart Researcher's Papers Contain Fraudulent Data

31 scientific publications from the laboratory of Piero Anversa contain falsified and/or fabricated data

Bariatric Sx Cuts Macrovascular Complications in Obesity, T2DM

Bariatric Sx Cuts Macrovascular Complications in Obesity, T2DM

Lower composite incidence of macrovascular events, lower incidence of coronary artery disease at 5 years

is free, fast, and customized just for you!




Already a member?

Sign In Now »