How Traditional Advance Directives Undermine Advance Care Planning: If You Have It in Writing, You Do Not Have to Worry About It

doi:10.1001/jamainternmed.2022.1180

. 2022 Jun 1;182(6):682-684.

doi: 10.1001/jamainternmed.2022.1180.

How Traditional Advance Directives Undermine Advance Care Planning: If You Have It in Writing, You Do Not Have to Worry About It

Catherine L Auriemma^{1

2

3}, Helen O'Donnell⁴, Tamar Klaiman¹, Julia Jones⁵, Zoe Barbati⁶, Eda Akpek⁶, Scott D Halpern^{1

2

3}

Affiliations

¹ Palliative and Advanced Illness Research Center (PAIR), University of Pennsylvania, Philadelphia.
² Department of Medicine, University of Pennsylvania, Philadelphia.
³ Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.
⁴ Perelman School of Medicine, University of Pennsylvania, Philadelphia.
⁵ College of Arts and Sciences, University of Pennsylvania, Philadelphia.
⁶ Mixed Methods Research Laboratory, University of Pennsylvania, Philadelphia.

PMID: 35467697
PMCID: PMC9039829
DOI: 10.1001/jamainternmed.2022.1180

How Traditional Advance Directives Undermine Advance Care Planning: If You Have It in Writing, You Do Not Have to Worry About It

Catherine L Auriemma et al. JAMA Intern Med. 2022.

. 2022 Jun 1;182(6):682-684.

doi: 10.1001/jamainternmed.2022.1180.

Authors

Catherine L Auriemma^{1

2

3}, Helen O'Donnell⁴, Tamar Klaiman¹, Julia Jones⁵, Zoe Barbati⁶, Eda Akpek⁶, Scott D Halpern^{1

2

3}

Affiliations

¹ Palliative and Advanced Illness Research Center (PAIR), University of Pennsylvania, Philadelphia.
² Department of Medicine, University of Pennsylvania, Philadelphia.
³ Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.
⁴ Perelman School of Medicine, University of Pennsylvania, Philadelphia.
⁵ College of Arts and Sciences, University of Pennsylvania, Philadelphia.
⁶ Mixed Methods Research Laboratory, University of Pennsylvania, Philadelphia.

PMID: 35467697
PMCID: PMC9039829
DOI: 10.1001/jamainternmed.2022.1180

Abstract

This research explores the perspectives of seriously ill patients on the completion of documentation and the implementation of advance directives and advance care planning.

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Conflict of interest statement

Conflict of Interest Disclosures: None reported.

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References

1. Sudore RL, Lum HD, You JJ, et al. . Defining advance care planning for adults: a consensus definition from a multidisciplinary Delphi panel. J Pain Symptom Manage. 2017;53(5):821-832.e1. doi:10.1016/j.jpainsymman.2016.12.331 - DOI - PMC - PubMed
1. Jimenez G, Tan WS, Virk AK, Low CK, Car J, Ho AHY. Overview of systematic reviews of advance care planning: summary of evidence and global lessons. J Pain Symptom Manage. 2018;56(3):436-459.e25. doi:10.1016/j.jpainsymman.2018.05.016 - DOI - PubMed
1. Morrison RS, Meier DE, Arnold RM. What’s wrong with advance care planning? JAMA. 2021;326(16):1575-1576. doi:10.1001/jama.2021.16430 - DOI - PMC - PubMed
1. Miles M, Huberman A. Qualitative Data Analysis: An Expanded Sourcebook. 2nd ed. SAGE Publications; 1994.
1. Halpern SD, Small DS, Troxel AB, et al. . Effect of default options in advance directives on hospital-free days and care choices among seriously ill patients: a randomized clinical trial. JAMA Netw Open. 2020;3(3):e201742. doi:10.1001/jamanetworkopen.2020.1742 - DOI - PMC - PubMed

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[1] Sudore RL, Lum HD, You JJ, et al. . Defining advance care planning for adults: a consensus definition from a multidisciplinary Delphi panel. J Pain Symptom Manage. 2017;53(5):821-832.e1. doi:10.1016/j.jpainsymman.2016.12.331 - DOI - PMC - PubMed

[2] Sudore RL, Lum HD, You JJ, et al. . Defining advance care planning for adults: a consensus definition from a multidisciplinary Delphi panel. J Pain Symptom Manage. 2017;53(5):821-832.e1. doi:10.1016/j.jpainsymman.2016.12.331 - DOI - PMC - PubMed

[3] Jimenez G, Tan WS, Virk AK, Low CK, Car J, Ho AHY. Overview of systematic reviews of advance care planning: summary of evidence and global lessons. J Pain Symptom Manage. 2018;56(3):436-459.e25. doi:10.1016/j.jpainsymman.2018.05.016 - DOI - PubMed

[4] Jimenez G, Tan WS, Virk AK, Low CK, Car J, Ho AHY. Overview of systematic reviews of advance care planning: summary of evidence and global lessons. J Pain Symptom Manage. 2018;56(3):436-459.e25. doi:10.1016/j.jpainsymman.2018.05.016 - DOI - PubMed

[5] Morrison RS, Meier DE, Arnold RM. What’s wrong with advance care planning? JAMA. 2021;326(16):1575-1576. doi:10.1001/jama.2021.16430 - DOI - PMC - PubMed

[6] Morrison RS, Meier DE, Arnold RM. What’s wrong with advance care planning? JAMA. 2021;326(16):1575-1576. doi:10.1001/jama.2021.16430 - DOI - PMC - PubMed

[7] Miles M, Huberman A. Qualitative Data Analysis: An Expanded Sourcebook. 2nd ed. SAGE Publications; 1994.

[8] Miles M, Huberman A. Qualitative Data Analysis: An Expanded Sourcebook. 2nd ed. SAGE Publications; 1994.

[9] Halpern SD, Small DS, Troxel AB, et al. . Effect of default options in advance directives on hospital-free days and care choices among seriously ill patients: a randomized clinical trial. JAMA Netw Open. 2020;3(3):e201742. doi:10.1001/jamanetworkopen.2020.1742 - DOI - PMC - PubMed

[10] Halpern SD, Small DS, Troxel AB, et al. . Effect of default options in advance directives on hospital-free days and care choices among seriously ill patients: a randomized clinical trial. JAMA Netw Open. 2020;3(3):e201742. doi:10.1001/jamanetworkopen.2020.1742 - DOI - PMC - PubMed

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How Traditional Advance Directives Undermine Advance Care Planning: If You Have It in Writing, You Do Not Have to Worry About It

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How Traditional Advance Directives Undermine Advance Care Planning: If You Have It in Writing, You Do Not Have to Worry About It

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