Rethinking the Role of Advance Care Planning in the Context of Infectious Disease.
J Aging Soc Policy
; 33(4-5): 493-499, 2021.
Article
in English
| MEDLINE | ID: covidwho-883015
ABSTRACT
Advance care planning (ACP) for medical decision-making at the end of life has developed around the expectation of death from long-term, progressive chronic illnesses. We reexamine advance care planning in light of the increased probability of death from COVID-19, an exemplar of death that occurs relatively quickly after disease onset. We draw several conclusions about ACP in the context of infectious diseases interpersonal and sociostructural barriers to ACP are high; ACP is not well-oriented toward decision-making for treatment of an acute illness; and the U.S. health care system is not well positioned to fulfill patients' end of life preferences in a pandemic. Passing the peak of the crisis will reduce, but not eliminate, these problems.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Communicable Diseases
/
Decision Making
/
Advance Care Planning
/
COVID-19
Type of study:
Prognostic study
Limits:
Humans
Language:
English
Journal:
J Aging Soc Policy
Journal subject:
Geriatrics
/
Public Health
Year:
2021
Document Type:
Article
Affiliation country:
08959420.2020.1824540
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