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| Findings on advance care plans among cognitively impaired older adults |
| Author(s) | Anna Jeznach, Holly Anna Tuokko, Mauricio A Garcia-Barrera |
| Journal title | Canadian Journal on Aging, vol 34, no 2, June 2015 |
| Publisher | Cambridge University Press, June 2015 |
| Pages | pp 165-175 |
| Source | journals.cambridge.org/cjg |
| Keywords | Cognitive impairment ; Advance directives ; Planning [admin] ; Terminal illness ; Dying ; Longitudinal surveys ; Canada. |
| Annotation | Cognitively impaired and cognitively intact older adults seemingly differ regarding engagement in aspects of advance care plans (ACPs). The authors used informant reports in the Canadian Study on Health and Aging to examine differences between deceased cognitively impaired and intact older adults in components of ACPs: (1) discussions or arrangements for end-of-life care; (2) creation of legal documents; and in ACP outcomes, (3) location of death; and (4) dying in accordance with wishes. Cognitively impaired older adults were more likely to have made arrangements for a substitute decision-maker (OR = 1.90) and to have created legal documents (OR = 2.64 for health care preferences, OR = 2.00 for naming a decision-maker). They were less likely to have discussed preferences for end-of-life care (OR = 0.62). These findings suggest that ACPs differ for cognitively impaired people, indicating a need for further investigation. This is a step towards understanding this complex process in a particularly vulnerable population. (RH). |
| Accession Number | CPA-150626300 A |
| Classmark | E4: CXB: QA6: CV: CX: 3J: 7S |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |