1993
DOI: 10.1111/j.1532-5415.1993.tb06761.x
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Medical Treatment Preferences of Nursing Home Residents: Relationship to Function and Concordance with Surrogate Decision‐Makers

Abstract: Veterans desired most treatments, but adjusted preferences according to health status and were not inconsistent. Depressive symptoms should be addressed prior to advance directive selection. The patient remains the best source of information, but proxies' decisions exhibit no bias and are not affected by patient status.

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Cited by 96 publications
(59 citation statements)
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“…In those studies, 16% of subjects "unable to eat," reported preferring tube feedings if becoming "permanently unconscious," and 25% of subjects preferred tube feedings if becoming "persistently vegetative." 8,9 Previous studies have shown that the desire for tube feedings tends to decrease as the hypothetical degree of cognitive impairment increases. [22][23][24] This may explain why a larger percentage (53%) of the subjects in another nursing home study opted for tube feedings when provided the hypothetical scenario of being "unable to eat" with no mention of associated cognitive status.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In those studies, 16% of subjects "unable to eat," reported preferring tube feedings if becoming "permanently unconscious," and 25% of subjects preferred tube feedings if becoming "persistently vegetative." 8,9 Previous studies have shown that the desire for tube feedings tends to decrease as the hypothetical degree of cognitive impairment increases. [22][23][24] This may explain why a larger percentage (53%) of the subjects in another nursing home study opted for tube feedings when provided the hypothetical scenario of being "unable to eat" with no mention of associated cognitive status.…”
Section: Discussionmentioning
confidence: 99%
“…Previous surveys usually addressed single nursing home populations and provided inconsistent findings. [7][8][9][10][11][12] To our knowledge, this in-person survey is the first populationbased survey that includes randomly selected nursing home residents from a large number of nursing homes.…”
mentioning
confidence: 99%
“…Studies have shown that neither their physicians nor family members can accurately predict what types of care patients would want at the end of their lives. 16,[25][26][27][28][29][30] The fact that the physicians and patients we studied, as groups, did not agree on types of end-of-life care they would like for themselves calls for explicit discussions of advance care issues. Physicians should play an important role in shared decision making about such complicated issues as end-of-life care without unduly impressing their own opinions on their patients.…”
Section: Discussionmentioning
confidence: 99%
“…17,18,21,[25][26][27][28][29][30][31][32] In such studies, individuals are asked what they would want for themselves in particular circumstances. Their loved ones or designated proxies are then asked to predict what the patient would have wanted.…”
Section: The Evidence Against Substituted Judgmentmentioning
confidence: 99%