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Changes in decisions by elderly persons based on treatment description

N Ainslie1, A E Beisecker

  • 1Department of Medicine, Kansas City Veterans Affairs Medical Center, MO.

Archives of Internal Medicine
|October 10, 1994
PubMed
Summary
This summary is machine-generated.

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Elderly individuals are more likely to refuse treatment with severe health conditions, but accept it when options are explained. Those refusing treatment often desire an active role in decision-making.

Area of Science:

  • Gerontology
  • Medical Ethics
  • Health Services Research

Background:

  • Investigated elderly individuals' treatment preferences and decision-making roles.
  • Examined if describing treatment options influences choices for elderly patients.

Purpose of the Study:

  • To determine if explaining treatment options increases acceptance among elderly individuals.
  • To assess if elderly individuals who refuse treatment desire an active role in medical decisions.

Main Methods:

  • 151 elderly volunteers completed questionnaires on treatment acceptance for pneumonia across various health states.
  • Treatment choices, from oral antibiotics to ventilation, were described, and participants re-selected treatments and decision-makers.

Main Results:

Keywords:
Death and EuthanasiaEmpirical ApproachMental Health TherapiesProfessional Patient Relationship

Related Experiment Videos

  • Treatment refusal decreased significantly when options were described for stroke and Alzheimer's disease.
  • Less aggressive treatment was not preferred by initial refusers; however, refusers more frequently chose to be the decision-maker.
  • Comprehension of medical conditions was assessed, with 116 subjects passing a quiz.

Conclusions:

  • Explaining treatment options improves acceptance rates among elderly patients, especially with comorbidities.
  • Elderly individuals refusing treatment often prefer to be the primary decision-maker.
  • Patient understanding of conditions and treatment options is crucial for informed consent.