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Living Will May Not Guarantee Wishes Are Followed
Even when close relatives know what
an individual's living will expresses, chances are those treatment
preferences will not be followed, results of a study suggest.
A
host of prior studies have demonstrated that family members and
physicians fare poorly in following an individual's life-sustaining
treatment preferences in the absence of a living will (or ``advance
directive''), according to Dr. Peter Ditto from the University
of California at Irvine, and associates.
What has never been
tested, though, is whether preferences expressed in a living
will are actually honored. The investigators looked at whether
the existence of a living will--with and without thorough discussion
of its contents among patients and their relatives--actually
improved the accuracy with which an individual's surrogates predicted
his or her treatment preferences.
In the absence of a living will,
relatives correctly predicted patient preferences less than 70%
of the time, the authors report. Surprisingly, living wills--even
with thorough discussions between patients and relatives--failed
to improve the accuracy of the surrogates' predictions, the researchers
note.
Thanks to Reuters Health.
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