AI Article Synopsis
- The study examined who northern Thai patients with terminal illnesses prefer to make decisions about their end-of-life care and cardiopulmonary resuscitation.
- Over half (57.2%) of patients trusted their physicians to make these decisions, while 28.3% wanted their relatives to decide, and only 14.5% preferred shared decision-making.
- For CPR, 44.1% wanted family involvement with physicians, 33.6% opted for family alone, and 22.4% placed trust entirely in physicians, highlighting the need for personalized assessments and clear information for patients.
Article Abstract
Surrogate decision-maker for end-of-life care is indicated at certain points during care for patients with terminal illnesses. This study aimed at identifying person(s) to whom northern Thai patients with terminal illnesses wished to transfer their decisions on end-of-life care and for cardiopulmonary resuscitation. From interviews with 152 eligible subjects, 57.2% had a high regard for their physicians' authority in making decisions on end-of-life care, 28.3% transferred their decisions to relative(s) and only 14.5% opted for shared decision-making among relative(s) and physicians. In the provision of cardiopulmonary resuscitation, 44.1% of subjects expressed a desire for family to make decisions together with physicians, 33.6% gave directives to the family alone and only 22.4% transferred their decisions to physicians. The differences that were observed in patients' preferences between the two situations indicate that patients should be assessed individually and adequate information for decision-making should be provided.
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| http://dx.doi.org/10.1111/j.1440-172X.2009.01730.x | DOI Listing |
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