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End-of-life health care planning among young-old adults
 — an assessment of psychosocial influences
Author(s)Deborah Carr, Dmitry Khodyakov
Journal titleJournals of Gerontology: Series B, Psychological Sciences and Social Sciences, vol 62B, no 2, March 2007
Pagespp S135-S141
Sourcehttp://www.geron.org
Keywords60-64 age group ; Living in the community ; Attitude ; Dying ; Terminal care ; Social surveys ; United States of America.
AnnotationEnd-of-life planning among healthy older people may protect them from unwanted medical treatment in later life, in the event of their becoming incapable of making health care decisions for themselves. The authors explored one informal and two formal components of end-of-life planning (discussions, living will, and durable power of attorney for health care). They assess whether one's health and health care encounters, personal beliefs, and experience with the death of others affect these practices. Using data from the Wisconsin Longitudinal Study (1992-93 and 2004), the authors estimated binary and multinomial logistic regression models to predict end-of-life preparations in a sample of 3838 community-living people aged 64-65. Recently being in hospital, personal beliefs (death avoidance and the belief that doctors should control health care decisions), and recent experience with the painful death of a loved one all influence end-of-life preparations. Consistent with past studies, education, gender, marital status and religious affiliation are all found to affect end-of-life planning. health care providers may encourage end-of-life preparations by assuaging patients' death anxiety and fostering decision-making autonomy. Initiating discussions about recent deaths may be an effective way of triggering patients' own end-of-life preparations. (RH).
Accession NumberCPA-070504254 A
ClassmarkBBC: K4: DP: CX: LV: 3F: 7T

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