Advance Directives

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Research conducted by: RAND Health; RAND Labor and Population

All Items (25)

Blog

When CPR Is the Wrong Call: Mistaking Medical Treatment for Care — Mar 14, 2013

CPR valve mask

If a medical treatment worked only a fraction of the time and resulted in bad outcomes more often than not, practitioners would not make this treatment the default approach. Yet that is exactly what has happened when it comes to CPR for individuals 85 years and older who suffer cardiac arrest in a community setting.

Journal Article

Inter-vivos Giving By Older People in the United States: Who Received Financial Gifts from the Childless? — Jan 1, 2009

Using data for 1996 to 2004 from the United States Health and Retirement Study, this article examines the differences between parents and childless older people in financial transfers to people other than their children.

Journal Article

The Impact of Late-Life Parental Death on Adult Sibling Relationships: Do Parents' Advance Directives Help or Hurt? — Jan 1, 2009

The authors examined whether the effect of parental death on adults siblings' relationship quality varies on the basis of the presence and perceived effectiveness of a deceased parent's formal preparations for end-of-life care.

Journal Article

Evidence for Improving Palliative Care at the End of Life: A Systematic Review — Jan 1, 2008

Assesses evidence about interventions to improve palliative and end-of-life care.

Journal Article

Advance Care Planning Among the Oldest Old — Jan 1, 2008

Even in a system known for high-quality chronic illness care, documentation of advance care planning and proxies for health decisions at end of life was infrequent. Involvement of outpatient primary care and geriatric providers may improve care.

Journal Article

Use of Advance Directives for Nursing Home Residents in the Emergency Department — Jan 1, 2008

Finds variability in advance directive documentation for nursing home patients on transfer to the emergency department, and finds that emergency clinicians experience substantial difficulty in reliably obtaining information about advance directives.

Journal Article

Quality Indicators for Palliative and End-of-Life Care in Vulnerable Elders — Jan 1, 2007

The literature summaries that support each indicator judged valid by the expert panel are described.

Journal Article

Disaster Planning: Making Decisions in Advance for Very Sick Patients — Jan 1, 2003

Advanced care planning to avoid unwanted care at the end of life remains a low priority in patient care.

Journal Article

Advance Care Planning for Fatal Chronic Illness: Avoiding Commonplace Errors and Unwarranted Suffering — Jan 1, 2003

The authors discuss serious, recurring, and generally unnoticed errors in planning for care near the end of life and possible steps toward improvement

Journal Article

End-of-life Discussions and Preferences Among Persons with HIV — Jan 1, 2001

Half of all persons infected with HIV are at risk of making end-of-life decisions without prior discussions with their health care practitioners.

Journal Article

Decision-Making and Outcomes of Prolonged ICU Stays in Seriously Ill Patients — Jan 1, 2000

Prolonged ICU stays were expensive and were often followed by death or disability.

Journal Article

Physician Understanding of Patient Resuscitation Preferences: Insights and Clinical Implications — Jan 1, 2000

Physicians often misunderstand seriously ill, hospitalized patients' resuscitation preferences, especially preferences to forego CPR.

Journal Article

Patients Who Want Their Family and Physician to Make Resuscitation Decisions for Them: Observations from SUPPORT and HELP — Jan 1, 2000

These results underscore the need to understand resuscitation preferences within a broader context of patient values.

Journal Article

Communication and Decision-Making in Seriously Ill Patients: Findings of the SUPPORT Project — Jan 1, 2000

SUPPORT documents that physicians and surrogates are often unaware of seriously ill patients' preferences.

Journal Article

Insights About Dying from the SUPPORT Project — Jan 1, 2000

SUPPORT aimed to describe and compare decision-making affecting seriously ill patients, it also illuminated other aspects of their course near death.

Journal Article

Age-related Differences in Care Preferences, Treatment Decisions, and Clinical Outcomes of Seriously Ill Hospitalized Adults: Lessons from SUPPORT — Jan 1, 2000

Seriously ill hospitalized older patients were treated less aggressively than younger patients.

Journal Article

Patient Age and Decisions to Withhold Life-Sustaining Treatments from Seriously Ill, Hospitalized Adults — Jan 1, 1999

Controversy exists about the appropriateness of using age as a criterion for making treatment decisions.

Journal Article

Outcomes, Preferences for Resuscitation, and Physician-Patient Communication Among Patients with Metastatic Colorectal Cancer — Jan 1, 1998

Describe characteristics, outcomes, and decision making in patients with colorectal cancer metastatic to the liver, and to examine the relationship of doctor-patient communication with patient understanding of prognosis and physician understanding of patients' treatment preferences.

Journal Article

Changes Over Time in the Use of Do Not Resuscitate Orders and the Outcomes of Patients Receiving Them — Apr 1, 1997

Do not resuscitate (DNR) orders are increasingly common, though there has been little evaluation of their changing use. The authors contrasted the use and outcomes of DNR orders for nationally representative samples of Medicare patients hospitalized with specific diagnoses in 1981 to 1982 and 1985 to 1986.

Journal Article

Factors Associated with Do-Not-Resuscitate Orders: Patients' Preferences, Prognoses, and Physicians' Judgments — Aug 15, 1996

Medical treatment decisions should be based on the preferences of informed patients or their proxies and on the expected outcomes of treatment.

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