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Advance Directives: Continuing the Conversation
Wootton, Abigail B
Wootton, Abigail B
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Abstract
Advance directives (AD) are completed by only one third of US adults. There are broad financial, clinical, and emotional costs associated with this rate of AD completion. A review of a Vermont family medicine clinic demonstrated that approximately one fourth of patients had completed an AD. Community perspective from a local ambulance service highlighted the AD needs of patients served in this region. Interventions focused on physician-directed resources including informational handouts and electronic health record documentation templates. Results data was limited by lack of longitudinal access for implementation and assessment. Future studies should assess AD completion at this clinic through a more extensive retrospective chart review. Future studies should also evaluate rates of AD completion, patient and provider understanding of do not resuscitate (DNR) orders, and other areas for improvement in advance care planning.
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2025-01-01
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