In the prospective trial of 309 competent inpatients >age 80, they were randomized to advanced care planning or usual care. The advanced care planning session discussed goals of care, future preferences, appointment of a surrogate, and documentation of their wishes. Of those that died, 86% of the intervention and only 30% of the controls groups wishes were known or followed. Family members of those in the intervention group reported less stress, anxiety, and depression than control family members. Advanced care planning in competent inpatients improves patient and family end of life care (abstract)
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April 14, 2010 |
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About the Author: Danielle Scheurer
Danielle Scheurer, MD, MSCR, SFHM is a clinical hospitalist and the Chief Quality Officer at the Medical University of South Carolina in Charleston, South Carolina, where she also serves as Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She is also the President of SHM's Board of Directors and previously served as Physician Editor of The Hospitalist, SHM's monthly newsmagazine.
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