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Patterns and trends in advance care planning among older adults who received end-of-life intensive care

JAMA Mar 08, 2020

Block BL, et al. - Researchers explored advance care planning (ACP) completion among older adults treated in an ICU during their last month of life to determine the prevalence and factors associated with no ACP. During the last month of life, approximately 30% of adults older than 65 years are treated in an intensive care unit (ICU). The ACP is a process that includes documenting wishes in an advance directive, appointing a surrogate decision-maker, and having discussions about values, goals, and preferences2—can give such persons more control over their care. Through contrast, those without ACP risk receiving unwanted, high-intensity, lower-quality care. This can point to individual harms, involving pain and suffering, and family harms involving psychosocial and financial distress.
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