End-of-life (EOL) planning occurs across the United States at a frequency of below 50%, suggesting a new approach to encourage action is in order, especially as COVID-19 and other potentially lethal conditions emerge. Utilizing data from a multi-year survey of 2,614 adults in Nebraska, this study examined demographic factors related to completion of EOL planning documents, and identified people with whom EOL wishes could, and had been discussed. Logistic regression estimates indicated more reliance on non-health care providers for EOL discussions. This shift with whom people would discuss EOL wishes may afford others an opportunity to encourage EOL discussions.
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http://dx.doi.org/10.1080/08959420.2021.1926864 | DOI Listing |
Med Care
January 2025
Division of Cancer Control and Population Sciences, University of Puerto Rico Comprehensive Cancer Center, San Juan, PR.
Background: Timely palliative and hospice care, along with advanced care planning, can reduce avoidable high-intensity care and improve quality of life at the end of life (EoL).
Objective: We examined patterns of care at EoL and evaluated predictors of high-intensity care at EoL among adults aged 18-64 with cancer.
Methods: Using data from the Puerto Rico Central Cancer Registry-Health Insurance Linkage Database, we examined 1359 patients diagnosed with cancer in 2010-2019, who died of cancer between 2017 and 2019 at 64 years and younger, and who were enrolled in Medicaid or private health insurance in last 30 days before death.
J Palliat Med
January 2025
Pediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Voicing My CHOiCES (VMC) is an advance care planning (ACP) guide designed to assist adolescents and young adults (AYAs) with serious illness in communicating their care preferences to others. This study evaluated a revised version of VMC. A structured interview was used alongside two versions of VMC to solicit AYA preferences and feedback regarding content and layout changes.
View Article and Find Full Text PDFBMJ Open
December 2024
Department of Intensive Care Medicine, Chi Mei Medical Center, Tainan, Taiwan
Introduction: With advances in medicine and the resultant increased ageing population, dementia, including Alzheimer's disease, has become a leading cause of death in individuals aged over 65 years in nursing homes. The unpredictable trajectory of the disease, marked by cognitive and functional decline, necessitates intensive healthcare and poses challenges to end-of-life (EoL) care decisions, particularly because majority of the affected individuals become unable to make their own decisions. This highlights the importance of advance care planning (ACP) programmes that enable individuals with dementia to define and communicate their EoL care decisions in advance.
View Article and Find Full Text PDFBiomimetics (Basel)
November 2024
Department of Mechanical Engineering, School of Engineering, University of Birmingham, Birmingham B15 2TT, UK.
Remanufacturing, which benefits the environment and saves resources, is attracting increasing attention. Disassembly is arguably the most critical step in the remanufacturing of end-of-life (EoL) products. Human-robot collaborative disassembly as a flexible semi-automated approach can increase productivity and relieve people of tedious, laborious, and sometimes hazardous jobs.
View Article and Find Full Text PDFPediatr Crit Care Med
January 2025
Department of Pediatrics, Division of Critical Care, University of Utah, Salt Lake City, UT.
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