Navigation Links
Living wills are poor predictors of actual treatment preferences at the end of life
Date:5/19/2010

New Rochelle, NY, May 19, 2010Living wills often do not represent a patient's actual treatment preferences when faced with real end-of-life circumstances and should be redesigned to guide more realistic advance decision-making, according to a study published in Journal of Palliative Medicine, a peer-reviewed journal from Mary Ann Liebert, Inc.,(www.liebertpub.com). Journal of Palliative Medicine is the official journal of the Center to Advance Palliative Care (CAPC) and an official journal of the Hospice and Palliative Nurses Association (HPNA). The paper is available free online (www.liebertpub.com/jpm).

"Ask a Different Question, Get a Different Answer: Why Living Wills are Poor Guides to Care Preferences at the End of Life" is the title of a study designed to assess how closely responses to questions on a standard living will represent an individual's preferences for end-of-life care in six different scenarios. Laraine Winter, PhD, Susan Parks, MD, and James Diamond, PhD, from Thomas Jefferson University in Philadelphia, PA, surveyed 202 men and women 70 years of age or older and asked them whether they would want life-sustaining treatments to be withheld if they served only to prolong the process of dying, a standard question on a living will. They then asked the study participants to predict their preferences for receiving four specific treatments in six end-of-life scenarios.

The results demonstrated that although there was some association between the living will response and treatment preferences in the six scenarios, these associations were relatively weak. The authors suggest that the hypothetical end-of-life scenario presented in the standard living will is often quite different than the circumstances patients will actually face, which accounts at least in part for the weak link between their responses on the living will and their treatment preferences. The authors propose substituting in the living will scenarios that more closely approximate what people are likely to experience and including estimates of how effective specific treatment options would be in sustaining life to help guide advance care decisions.

"It is so important to move the field of advance care planning forward," says Charles F. von Gunten, MD, PhD, Editor-in-Chief of Journal of Palliative Medicine, and Provost, Institute for Palliative Medicine at San Diego Hospice. Further, he says, "This should form the basis for innovative new approaches for help in decision-making."


'/>"/>

Contact: Julia Chapman
jchapman@liebertpub.com
914-740-2147
Mary Ann Liebert, Inc./Genetic Engineering News
Source:Eurekalert

Related biology news :

1. Control of cell movement with light accomplished in living organisms
2. Children living in apartments with nonsmoking adults still exposed
3. Study finds that low-income women living in small cities have higher chance of obesity
4. New technique allows study of protein folding, dynamics in living cells
5. Living the high life is risky business for toads under threat from fungus
6. New biosensors reveal workings of anti-psychotic drugs in the living brain
7. Exploration by explosion: Studying the inner realm of living cells
8. Not just bleach: Hydrogen peroxide may tell time for living cells
9. Studies examine how living conditions impact reproductive health
10. Brain innately separates living and non-living objects for processing
11. Scientists sequence genome of the N2-fixing, soil-living bacterium Azotobacter vinelandii
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/14/2016)... March 14, 2016 NXTD ) ("NXT-ID" ... commerce market, announces the airing of a new series of ... week of March 21 st .  The commercials will air ... popular Squawk on the Street show. --> NXTD ... growing mobile commerce market, announces the airing of a new ...
(Date:3/10/2016)... March 10, 2016   Unisys Corporation (NYSE: ... Protection (CBP) is testing its biometric identity solution at ... to help identify certain non-U.S. citizens leaving the ... test, designed to help determine the efficiency and accuracy of ... February and will run until May 2016. --> ...
(Date:3/3/2016)... Calif. , March 3, 2016  FlexTech, a ... the categories of Innovation, Research & Development, Leadership in ... Leadership. This is the 9 th year of ... group of companies and individuals from past years ... based on a pre-described set of criteria, by a ...
Breaking Biology News(10 mins):
(Date:4/29/2016)... ... April 29, 2016 , ... Amendia, Inc., a ... procedures, today announced the completion of a significant transaction and partnership that positions ... customers and partners. Kohlberg & Company, L.L.C. (“Kohlberg”), a leading private equity ...
(Date:4/29/2016)... ... April 29, 2016 , ... Summit for Stem Cell has ... development of a patient-specific stem cell therapy for the treatment of Parkinson’s disease. The ... Jeanne Loring at The Scripps Research Institute in San Diego, CA. , ...
(Date:4/28/2016)... -- The report "Cryocooler Market by Type ... Support, Product Repairs & Refurbishment, Preventive Maintenance, and Customer ... published by MarketsandMarkets, the global market is expected to ... CAGR of 7.29% between 2016 and 2022. ... spread through 159 Pages and in-depth TOC on  "Cryocooler ...
(Date:4/28/2016)... ... April 28, 2016 , ... Next week ... talk on its first-in-class technologies for tissue stem cell counting and expansion to ... Biology to Reprogramming & CRISPR-based Genome Engineering in Burlington, Massachusetts. , The attention ...
Breaking Biology Technology: