Findings on Advance Care Plans among Cognitively Impaired Older Adults.
Cognitively impaired and cognitively intact older adults seemingly differ regarding engagement in aspects of advance care plans (ACPs). Through informant reports in the Canadian Study on Health and Aging, we examined differences between deceased cognitively impaired and intact older adults in components of ACPs: (1) discussions/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 persons, indicating a need for further investigation. This is a step towards understanding this complex process in a particularly vulnerable population.
Department of PsychologyandCentre on Aging,University of Victoria.
Anna
A
Jeznach
Department of PsychologyandCentre on Aging,University of Victoria.
Holly Anna
HA
Tuokko
Department of PsychologyandCentre on Aging,University of Victoria.
Mauricio A
MA
Garcia-Barrera
School of Nursing and Centre on Aging,University of Victoria.
Kelli
K
Stajduhar
D032722:Advance Care Planning / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D016223:Advance Directives / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D002170:Canada; D016022:Case-Control Studies; D003072:Cognition Disorders; D003657:Decision Making; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D057240:Patient Preference / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D019727:Proxy / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D013727:Terminal Care / Q000706:statistics & numerical data*
soins de fin de vie