Failure of advanced care planning

This multicenter study from Canada interviewed hospitalized elderly patients (and their families) at the end of life, about their end of life wishes; they found ~75% had thought about end of life care, ~50% had completed an advanced care plan, and ~75% had named a surrogate for decision making. Only ~30% of patients had concordance between their stated wishes and what was documented in the medical record. There is ongoing lack of communication of wishes between end of life patients and their care providers (abstract)

Danielle Scheurer

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.

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