Approximately 30% of adults older than 65 years are treated in an intensive care unit (ICU) during the last month of life.1 Advance care planning (ACP)—a process that involves documenting wishes in an advance directive, appointing a surrogate decision maker, and having conversations about values, goals, and preferences2—can give such persons more control over their care.3 By contrast, those without ACP risk receiving unwanted, high-intensity, lower-quality care.4 This can lead to individual harms, including pain and suffering, and family harms, including psychosocial and financial distress.5 We therefore examined ACP completion among older adults treated in an ICU during their last month of life to determine the prevalence and factors associated with no ACP.
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Block BL, Jeon SY, Sudore RL, Matthay MA, Boscardin WJ, Smith AK. Patterns and Trends in Advance Care Planning Among Older Adults Who Received Intensive Care at the End of Life. JAMA Intern Med. Published online March 02, 2020. doi:10.1001/jamainternmed.2019.7535
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