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Related Experiment Video

Updated: Jul 10, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Outpatients' attitudes regarding advance directives.

W Edinger¹, D R Smucker

¹Department of Psychiatry, Medical College of Ohio, Toledo 43699-0008.

The Journal of Family Practice

|December 1, 1992

Summary

Most patients want their doctors to discuss life-prolonging treatment wishes. Physicians should proactively initiate these conversations early in the patient-physician relationship to avoid future ethical dilemmas.

Keywords:

Death and Euthanasia Empirical Approach

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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Published on: August 1, 2019

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

Published on: August 5, 2020

Area of Science:

Medical Ethics
Patient-Physician Communication
End-of-Life Care

Background:

Physicians often hesitate to discuss life-prolonging treatment wishes with patients.
Discussions about end-of-life care are frequently delayed until patients are critically ill.
Proactive communication can prevent ethical dilemmas at the bedside.

Purpose of the Study:

To investigate patient preferences regarding discussions about life-prolonging treatment.
To determine who patients want to initiate conversations about end-of-life care.
To assess patient attitudes towards physicians initiating these discussions.

Main Methods:

Survey of 300 adult patients in a family physician's office.
Questionnaire assessing patient wishes, attitudes, and initiation preferences for end-of-life discussions.
Inclusion of demographic information and prior discussion status.

Main Results:

68% of patients desired their physician to initiate discussions on life-prolonging treatment.
Only 11% preferred not to have their physician initiate the conversation.
A majority across all age groups deemed these discussions important, whether healthy or ill.

Conclusions:

Patients are generally receptive to physicians initiating conversations about life-prolonging treatment.
Physicians should proactively raise end-of-life care wishes early in the patient relationship.
Early physician-led discussions can improve end-of-life care planning and reduce ethical conflicts.