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- W4244935422 abstract "Letters15 February 1998Communicating End-of-Life DecisionsEthan A. Halm, MD, MPHEthan A. Halm, MD, MPHMount Sinai Medical Center; New York, NY 10029Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-128-4-199802150-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Hofmann and colleagues [1] have made a valuable contribution to the understanding of the complex determinants of poor physician–patient communication. Many have assumed that the low rates of advance directive orders in hospitalized patients are attributable to physician paternalism, lack of training, or inadequate resolve to discuss difficult end-of-life issues. I was struck by the authors' finding that most patients did not desire discussion of preferences for cardiopulmonary resuscitation (58%) or prolonged mechanical ventilation (80%). These were sick patients at risk for poor outcomes, most of whom were already participating in critical health care decisions. Yet, they ...References1. Hofmann JC, Wengner NS, Davis RB, Teno J, Connors AF Jr, Desbiens N, et al. Patient preferences for communication with physicians about end-of-life decisions. Ann Intern Med. 1997; 127; 1-12. Google Scholar Author, Article, and Disclosure InformationAffiliations: Mount Sinai Medical Center; New York, NY 10029 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 15 February 1998Volume 128, Issue 4Page: 319KeywordsCardiopulmonary resuscitationClinical trialsHealth carePatient advocacyVentilators Issue Published: 15 February 1998 CopyrightCopyright © 1998 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ..." @default.
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- W4244935422 title "Communicating End-of-Life Decisions" @default.
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