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Patient Age and Decisions to Withhold Life-Sustaining Treatments From Seriously Ill, Hospitalized Adults
BACKGROUND: Patient age may influence decisions to withhold life-sustaining treatments, independent of patients' preferences for or ability to benefit from such treatments. Controversy exists about the appropriateness of ...
Community Physicians Describe Management Issues for Patients Expected to Live Less Than Twelve Months
We examine management issues experienced by community physicians providing care to patients they expect to die within a year. In a case series, 61 physicians in northern New England enrolled 182 consecutive dying patients. ...
Short-Term Mortality Predictions for Critically Ill Hospitalized Adults: Science and Ethics
Modern life-sustaining therapy often succeeds in postponing death but may be ineffective at restoring health. Decisions that influence the time and circumstances of an individual's death are now common and require an ...
Perceptions by Family Members of the Dying Experience of Older and Seriously Ill Patients
BACKGROUND: Alleviating the problems faced by dying persons and their families has drawn substantial public attention, but little is known about the experience of dying. OBJECTIVE: To characterize the experience of dying ...
The Illusion of End-of-Life Resource Savings With Advance Directives
OBJECTIVE: Would increasing the documentation of advance directives (ADs) lead to a reduction in resource utilization? We examined this question by conducting three secondary analyses: (1) we tested for a change in ...
Do Advance Directives Provide Instructions That Direct Care?
OBJECTIVE: To evaluate whether the lack of effect of advance directives (ADs) on decision-making in SUPPORT might arise, in part, from the content of the actual documents. DESIGN: Advance directives placed in the medical ...
Developing and Implementing Measures of Quality of Care at the End of Life: A Call for Action
(American Geriatrics Society. Ethics Committee, 1997-04)
Care and Cost Savings at the End of Life