Clinical studyAttitudes of hospitalized patients toward life support: A survey of 200 medical inpatients☆
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Predictors, Treatments, and Outcomes of Do-Not-Resuscitate Status in Acute Myocardial Infarction Patients (from a Nationwide Inpatient Cohort Study)
2021, American Journal of CardiologyCitation Excerpt :This may represent the complex interplay between a person's own wishes and priorities about life-prolonging therapies in the face of deteriorating health and medical culture that recommends not attempting resuscitation when there is little likelihood of returning physiological function. Previous literature has suggested that women and elderly patients are less likely to want aggressive treatment when ill13 and physicians are more likely to assign DNR orders to multimorbid patients.14 Jackson et al looked at DNR orders in patients hospitalized with AMI as part of the Worcester Heart Attack Study and noted similar characteristics.11
Professional judgments about advance care planning with community-dwelling consumers
2012, Journal of Pain and Symptom ManagementCitation Excerpt :Millions of people with chronic illnesses die each year suffering from unrelieved pain, uncontrolled physical symptoms, and unresolved psychosocial or spiritual problems mainly because they are never given the opportunity to discuss their treatment options, make known their wishes, identify surrogates, and set goals with caregivers and health care providers.1–3 Research shows that conversations about advance care planning (ACP), which include detailing end-of-life issues, are valued by most people;4–6 however, these conversations usually occur in the last stages of life or not at all. Making end-of-life issues less difficult for consumers, families, and caregivers requires that ACP conversations take place earlier in the disease process when consumers are better able to understand their options and to make their goals of care known.
Ethical Aspects of Disordered States of Consciousness
2011, Neurologic ClinicsCitation Excerpt :The authors agree that categorical limitations on the authority of lawful surrogates to make decisions on behalf of patients in VS or MCS are undesirable. This is especially true because, to the limited extent that patient preferences have been studied, the bulk of the evidence suggests that the vast majority of people would prefer not to continue living in the event they were to become profoundly cognitively impaired to the point of being unable to communicate with others, process information, or engage in any daily activities of living.34–36 Although these population statistics do not indicate what any given individual might decide in such a situation, the authors believe they highlight the possibility that significant harm can be done and significant burdens caused to patients by continuing treatment that they might not have wanted.
Negotiating Goals of Care: Changing Goals Along the Trajectory of Illness
2011, Palliative CareAnalysis of death characteristics of 1266 cancer patients
2023, Research SquareLife Support Preferences in the Context of COVID-19: Results from a National US Survey
2021, Medical Decision Making
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A portion of this work was presented in abstract form at the American College of Physicians meeting, La Jolla, California, March 20, 1988.