Chapter

Association Between Advance Directives and Quality of End-of-Life Care

Donna S. Zhukovsky

in 50 Studies Every Palliative Care Doctor Should Know

Published on behalf of Oxford University Press

Published in print April 2018 | ISBN: 9780190658618
Published online April 2018 | e-ISBN: 9780190658649 | DOI: https://dx.doi.org/10.1093/med/9780190658618.003.0035

Series: Fifty Studies Every Doctor Should Know

Association Between Advance Directives and Quality of End-of-Life Care

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Preview

Advance care planning is a complex process whereby an individual reflects on future care options at the end of life after reflecting on his or her values and goals for care. These values, goals, and preferences are then communicated to key stakeholders in the process (i.e., proxy and surrogate decision-makers, family members, and health care providers). It is unclear how well the completion of advance directives and a written outcome of advance care planning affect desired patient outcomes. In this chapter, a critical review is provided of a mortality follow-back survey that evaluates the association of advance directives with quality of end-of-life care from the perspective of bereaved family members. Study strengths and limitations are described, as are directions for future research.

Chapter.  1927 words.  Illustrated.

Subjects: Palliative Medicine ; Primary Care

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