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African American caregivers' preferences for life-sustaining treatment
Author(s)Gloria Bonner, Philip B Gorelick, Thomas Prohaska
Journal titleJournal of Ethics, Law, and Aging, vol 5, no 1, Spring/Summer 1999
Pagespp 3-16
KeywordsBlack people ; Family care ; Attitude ; Terminal care ; Medical care ; Stroke ; Dementia ; Social ethics ; United States of America.
AnnotationStudies about treatment preferences are often conducted on well people who are asked to imagine they were on life support. This study focuses on factors influencing treatment decisions made by family members or relatives who are, for the most part, cognitively disabled. 100 African American caregivers of older patients with stroke, stroke dementia or Alzheimer's disease (AD) was conducted to identify influences on decisions regarding use of three life-sustaining measures: cardiopulmonary resuscitation (CPR), mechanical ventilation, and tube feeding. Logistic regression analysis revealed that CPR and mechanical ventilation were more likely to be recommended by caregivers who trust the health care system than caregivers who fail to trust the system. Tube feeding was more likely to be recommended by caregivers who were designated as health care surrogates by the care recipients. Knowledge about predictors of end-of-life treatment decisions for African Americans provides insights that may allow health care providers to serve as better advocates for this population. (RH).
Accession NumberCPA-990427208 A
ClassmarkTKE: P6:SJ: DP: LV: LK: CQA: EA: TQ: 7T

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