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Differences in veterans' and nonveterans' end-of-life preferences: a pilot study
Sonia A Duffy1, David Ronis, Karen Fowler
1Department of Veterans Affairs, VA HSR&D Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan 48113-0170, USA. Sonia.Duffy@med.va.gov
Journal of Palliative Medicine
|October 17, 2006
Summary
Veterans expressed distinct end-of-life preferences compared to nonveterans, favoring open communication and do-not-resuscitate (DNR) orders. Tailoring care to veteran wishes can enhance satisfaction and efficiency.
Area of Science:
- Gerontology
- Sociology
- Public Health
Background:
- Focus groups revealed significant differences in end-of-life preferences between veterans and nonveterans.
- This highlights a need to explore these disparities further.
Purpose of the Study:
- To investigate and compare end-of-life preferences between veteran and nonveteran populations.
- To identify specific areas of divergence in patient wishes and care expectations.
Main Methods:
- Conducted ten focus groups and a pilot survey with diverse racial and ethnic groups.
- Included 73 participants stratified by gender, with 15 male veterans across racial categories.
- Utilized a moderator discussion guide and a survey on demographics and end-of-life preferences.
Main Results:
- Veterans were more likely to be married and less culturally connected than nonveterans.
- Veterans showed a greater preference against heroic measures and for frank communication with doctors.
- Veterans strongly favored do-not-resuscitate (DNR) orders but were less likely to have a proxy or durable power of attorney.
Conclusions:
- The Department of Veterans Affairs can significantly improve end-of-life care for veterans.
- Aligning care with veteran preferences enhances satisfaction and cost-effectiveness by avoiding unwanted services.
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