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)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is 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 also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.