Stephanie S Tu1, John R O'Leary2, Terri R Fried3. 1. Yale School of Medicine (S.S.T.). 2. Program on Aging, Yale School of Medicine (J.R.O.); Department of Medicine, Yale School of Medicine (J.R.O., T.R.F.). 3. Department of Medicine, Yale School of Medicine (J.R.O., T.R.F.); Clinical Epidemiology Research Center, VA Connecticut Healthcare System (T.R.F.). Electronic address: terri.fried@yale.edu.
Abstract
CONTEXT: While medical end-of-life planning has been well characterized, less is known about non-medical planning to prepare for the end of life. OBJECTIVES: To determine the prevalence of engagement in non-medical end-of-life (EOL) planning and its relationship to medical EOL planning. METHODS: Three hundred and four persons age 65 and older recruited from physician offices and a senior center were administered an in-person interview asking about participation in the following non-medical EOL planning behaviors: moving to a location with more help, teaching someone to do things around the house, purchasing long-term care insurance, telling someone the location of important documents, preparing a financial will, conveying wishes for funeral arrangements, purchasing a cemetery plot, and prepaying for a funeral. RESULTS: Prevalence of participation in the different non-medical EOL planning activities varied widely, from 8% for prepaying for a funeral to 84% for telling someone the location of important documents. There was little overlap in the factors associated with participation in each activity. Conveying wishes for funeral arrangements and completing a financial will were associated with completing a living will (OR 2.69, 95% CI 1.51, 4.78; OR 6.70, 95% CI 3.18, 14.15) and communication about quality versus quantity of life (OR 4.52, 95% CI 2.54, 8.04; OR 2.47, 95% CI 1.25, 4.86). CONCLUSION: There is variability in both the prevalence of and factors associated with engagement in non-medical EOL planning activities. The association of non-medical with medical planning activities supports the utility of programs assisting individuals with broad engagement in EOL planning. Published by Elsevier Inc.
CONTEXT: While medical end-of-life planning has been well characterized, less is known about non-medical planning to prepare for the end of life. OBJECTIVES: To determine the prevalence of engagement in non-medical end-of-life (EOL) planning and its relationship to medical EOL planning. METHODS: Three hundred and four persons age 65 and older recruited from physician offices and a senior center were administered an in-person interview asking about participation in the following non-medical EOL planning behaviors: moving to a location with more help, teaching someone to do things around the house, purchasing long-term care insurance, telling someone the location of important documents, preparing a financial will, conveying wishes for funeral arrangements, purchasing a cemetery plot, and prepaying for a funeral. RESULTS: Prevalence of participation in the different non-medical EOL planning activities varied widely, from 8% for prepaying for a funeral to 84% for telling someone the location of important documents. There was little overlap in the factors associated with participation in each activity. Conveying wishes for funeral arrangements and completing a financial will were associated with completing a living will (OR 2.69, 95% CI 1.51, 4.78; OR 6.70, 95% CI 3.18, 14.15) and communication about quality versus quantity of life (OR 4.52, 95% CI 2.54, 8.04; OR 2.47, 95% CI 1.25, 4.86). CONCLUSION: There is variability in both the prevalence of and factors associated with engagement in non-medical EOL planning activities. The association of non-medical with medical planning activities supports the utility of programs assisting individuals with broad engagement in EOL planning. Published by Elsevier Inc.
Entities:
Keywords:
Advance care planning; end-of-life care; patient care planning
Authors: Brian L Block; Sun Young Jeon; Rebecca L Sudore; Michael A Matthay; W John Boscardin; Alexander K Smith Journal: JAMA Intern Med Date: 2020-05-01 Impact factor: 21.873
Authors: Allen C Sherman; Stephanie Simonton-Atchley; Cindy W Mikeal; Kendra M Anderson; Konstantinos Arnaoutakis; Laura F Hutchins; Issam Makhoul; Fade Mahmoud; Natasa Milojkovic; Sarah E Harrington; James Y Suen Journal: J Psychosoc Oncol Date: 2018-06-04