End-of-Life Terminology: The ED Patients’ Perspective

Marco, Catherine A.; Savory, Eric; Treuhaft, Katherine

doi:10.1080/21507711003697519

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…One study demonstrated that only 38% of patients and 46% of visitors correctly identified the definition of a DNR order, and only 2% of patients and 5% of visitors knew the correct CPR survival rate [15]. Other previous studies have also demonstrated poor understanding of advance directives and survival rates [16,6]. In the face of so much uncertainty from the patient and family perspective, it is possible that there may be significant misunderstanding or miscommunication between health care providers and patients and families.…”

Section: Discussionmentioning

confidence: 92%

Do-not-resuscitate orders among trauma patients

Marco

Michael

Bleyer

et al. 2015

The American Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 92%

Do-not-resuscitate orders among trauma patients

Marco

Michael

Bleyer

et al. 2015

The American Journal of Emergency Medicine

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“…This general lack of public understanding of end-of-life issues serves to further complicate the role of the physician and outcomes for the patient. Additionally, results of previous studies have demonstrated that physicians overestimate their patients' health literacy levels [ 66 - 68 ]. Improvement of health literacy among patients should enhance autonomy and facilitate discussions with their physicians.…”

Section: Advance Care Planningmentioning

confidence: 99%

End-of-life issues in the acute and critically ill patient

Savory

Marco

2009

Scand J Trauma Resusc Emerg Med

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The challenges of end-of-life care require emergency physicians to utilize a multifaceted and dynamic skill set. Such skills include medical therapies to relieve pain and other symptoms near the end-of-life. Physicians must also demonstrate aptitude in comfort care, communication, cultural competency, and ethical principles. It is imperative that emergency physicians demonstrate a fundamental understanding of end-of-life issues in order to employ the versatile, multidisciplinary approach required to provide the highest quality end-of-life care for patients and their families.

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Failure of the Current Advance Care Planning Paradigm: Advocating for a Communications-Based Approach

Vearrier

2016

HEC Forum

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The purpose of advance care planning (ACP) is to allow an individual to maintain autonomy in end-of-life (EOL) medical decision-making even when incapacitated by disease or terminal illness. The intersection of EOL medical technology, ethics of EOL care, and state and federal law has driven the development of the legal framework for advance directives (ADs). However, from an ethical perspective the current legal framework is inadequate to make ADs an effective EOL planning tool. One response to this flawed AD process has been the development of Physician Orders for Life Sustaining Treatment (POLST). POLST has been described as a paradigm shift to address the inadequacies of ADs. However, POLST has failed to bridge the gap between patients and their autonomous, preferred EOL care decisions. Analysis of ADs and POLST reveals that future policy should focus on a communications-based approach to ACP that emphasizes ongoing interactions between healthcare providers and patients to optimize EOL medical care to the individual patient.

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End-of-Life Terminology: The ED Patients’ Perspective

Cited by 4 publications

References 28 publications

Do-not-resuscitate orders among trauma patients

Do-not-resuscitate orders among trauma patients

End-of-life issues in the acute and critically ill patient

Failure of the Current Advance Care Planning Paradigm: Advocating for a Communications-Based Approach

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