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End-of-Life Planning: Normalizing the Process.

Julie L Masters1, Lindsey E Wylie2, Sarah B Hubner3

  • 1Professor and Terry Haney Chair of Gerontology, Department of Gerontology, University of Nebraska Omaha, Lincoln, Nebraska, USA.

Journal of Aging & Social Policy
|June 3, 2021
PubMed
Summary
This summary is machine-generated.

End-of-life (EOL) planning is infrequent in the US. This study found that people increasingly discuss EOL wishes with non-healthcare providers, offering new opportunities to encourage EOL planning.

Keywords:
Advance directivesdecision-makingend-of-life planning

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Area of Science:

  • Public Health
  • Gerontology
  • Sociology

Background:

  • End-of-life (EOL) planning completion rates in the US are below 50%.
  • Emerging health crises like COVID-19 highlight the need for proactive EOL planning.
  • Current approaches may not be effectively encouraging individuals to complete EOL documents.

Purpose of the Study:

  • To examine demographic factors associated with completing EOL planning documents.
  • To identify individuals with whom adults discuss their EOL wishes.
  • To explore opportunities for increasing EOL planning discussions.

Main Methods:

  • Analysis of a multi-year survey data from 2,614 Nebraska adults.
  • Logistic regression modeling to assess factors related to EOL document completion.
  • Examination of discussion partners for EOL wishes.

Main Results:

  • Logistic regression indicated a greater reliance on non-healthcare providers for EOL discussions.
  • Demographic factors influenced both EOL document completion and discussion partners.
  • A significant portion of adults had not discussed EOL wishes with healthcare providers.

Conclusions:

  • The shift towards discussing EOL wishes with non-healthcare providers presents a novel avenue for intervention.
  • Leveraging these trusted relationships may increase EOL planning engagement.
  • Future strategies should consider involving non-traditional EOL discussion partners.