2016
DOI: 10.1017/s1478951516000808
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End-of-life care decisions using a Korean advance directive among cancer patient–caregiver dyads

Abstract: The degree of patient-caregiver concordance on the K-AD seemed applicable, and achieved mild to moderate concordance. Our findings are exploratory but suggest the need for EoL discussions where patient-caregiver dyads are encouraged to participate in EoL care decision making.

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Cited by 20 publications
(52 citation statements)
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“…Patients had difficulty in understanding the POLST, such as concept, the process, and advantages and disadvantages. Emotional discomfort for discussing the POLST was also an important barrier, which was also consistent with previous reports [21,23,25]. Patients showed fear of being abandoned by their physicians and fear of losing hope or experiencing unfavorable events if they sign the POLST form.…”
Section: Discussionsupporting
confidence: 87%
“…Patients had difficulty in understanding the POLST, such as concept, the process, and advantages and disadvantages. Emotional discomfort for discussing the POLST was also an important barrier, which was also consistent with previous reports [21,23,25]. Patients showed fear of being abandoned by their physicians and fear of losing hope or experiencing unfavorable events if they sign the POLST form.…”
Section: Discussionsupporting
confidence: 87%
“…A part of the K‐AD model, which consists of a value statement, treatment directives and proxy, was used to assess AD treatments. The K‐AD model, which is a culturally acceptable, reality‐based, user‐friendly form of an AD developed through a series of research studies, has been administered to explore the ADs of Korean adults with cancer and non‐cancer diseases in both clinical and non‐clinical settings (J. Kim, M. An, S. W. Hong, S. Heo, H. Kim, A. Jung, & J. Shim, unpublished data; Kim, Koh, Park, & Kim, ). In this study, treatment directives, which specify one's preferred EoL treatments, were revised by the researchers accordingly after the enforcement of the LST Act (The National Law Information Center, ).…”
Section: Methodsmentioning
confidence: 99%
“…Further, a larger study is warranted to assess the demographic and clinical characteristics of patients to increase the awareness and documentation of ADs in Korea. The specific responses to each component of the K-AD model in the patients with HF were similar to those of other Korean populations with and without cancer [23,33], particularly those of community-dwelling elderly individuals [23]. Comfortable death (31.8%) and reluctance to burden the family with their care (13.6%) were highly valued among the patients with HF.…”
Section: Discussionmentioning
confidence: 53%
“…Further, the patients of young-er age, lower educational status, female sex, without spouse, and having more severe HF preferred to receive both an aggressive treatment and hospice care in contrast to those with no choices or either EOL treatments or hospice care in this study. In other studies in Korea, CPR was less preferred by patients with cancer-caregiver dyads (20.5% vs. 27.3%) and artificial ventilation (20.5% vs. 36.4%) [33]. In community-dwelling elderly individuals, CPR (23.3%) and artificial ventilation (24.0%) were similarly selected [23].…”
Section: Discussionmentioning
confidence: 82%
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