Chronically homeless persons' participation in an advance directive intervention: A cohort study

Palliative Medicine
Alexander K LeungStephen W Hwang

Abstract

Chronically homeless individuals have high rates of hospitalization and death, and they may benefit from the completion of advance directives. To determine the rate of advance directive completion using a counselor-guided intervention, identify characteristics associated with advance directive completion, and describe end-of-life care preferences in a group of chronically homeless individuals. Participants completed a survey and were offered an opportunity to complete an advance directive with a trained counselor. A total of 205 residents of a shelter in Canada for homeless men (89.1% of those approached) participated from April to June 2013. Duration of homelessness was ⩾12 months in 72.8% of participants, and 103 participants (50.2%) chose to complete an advance directive. Socio-demographic characteristics, health status, and health care use were not associated with completion of an advance directive. Participants were more likely to complete an advance directive if they reported thinking about death on a daily basis, believed that thinking about their friends and family was important, or reported knowing their wishes for end-of-life care but not having told anyone about these wishes. Among individuals who completed an advanc...Continue Reading

References

Aug 14, 1991·JAMA : the Journal of the American Medical Association·A S Brett
Apr 7, 1999·American Journal of Public Health·S M BarrowE L Struening
May 26, 1999·Journal of Health Politics, Policy and Law·T P O'TooleM J Fine
May 3, 2000·JAMA : the Journal of the American Medical Association·S W Hwang
Feb 15, 2001·JAMA : the Journal of the American Medical Association·M B KushelJ S Haas
Mar 21, 2002·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Rebecca Douglas, Hazel N Brown
May 1, 2002·JAMA : the Journal of the American Medical Association·Harvey Max Chochinov
Jul 12, 2003·BMJ : British Medical Journal·Merete Nordentoft, Nina Wandall-Holm
Aug 9, 2003·Lancet·Agnes van der HeideUNKNOWN EURELD consortium
Jan 11, 2005·Clinics in Geriatric Medicine·Kristi L Kirschner
Jan 22, 2005·Journal of Palliative Medicine·Anita J TarzianJ Anne O'Neil
Jan 4, 2006·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Tiina PodymowGeorge Wells
Feb 17, 2007·Journal of the American Geriatrics Society·Sharda D RamsaroopRonald D Adelman
Mar 21, 2007·Journal of General Internal Medicine·John SongJasjit S Ahluwalia
Mar 21, 2007·Journal of General Internal Medicine·John SongJasjit S Ahluwalia
Apr 25, 2007·Archives of Internal Medicine·Angelo E VolandesMuriel R Gillick
May 15, 2007·Journal of Aging and Health·Mary Ann JezewskiDeborah S Finnell
Aug 8, 2007·Archives of General Psychiatry·Dilip V JesteHelena C Kraemer
Dec 7, 2007·Mayo Clinic Proceedings·Adam NishimuraMary E Crowley
Sep 19, 2008·Journal of General Internal Medicine·John SongLillian Gelberg
Mar 24, 2009·International Journal of Epidemiology·David S Morrison
Apr 2, 2009·JAMA : the Journal of the American Medical Association·Mary E LarimerG Alan Marlatt
Oct 28, 2009·BMJ : British Medical Journal·Stephen W HwangJames R Dunn
Nov 3, 2009·Patient Education and Counseling·Maria-Isabel Tamayo-VelázquezInés-María Barrio-Cantalejo
Mar 25, 2010·BMJ : British Medical Journal·Karen M DeteringWilliam Silvester
Apr 2, 2010·The New England Journal of Medicine·Maria J SilveiraKenneth M Langa
Aug 18, 2010·Annals of Internal Medicine·Rebecca L Sudore, Terri R Fried
Aug 27, 2010·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Christine R DurbinKatharine V Smith
Sep 30, 2010·Palliative & Supportive Care·Gloria J AlanoGisele P Wolf-Klein
Jan 16, 2013·JAMA Internal Medicine·Travis P BaggettNancy A Rigotti
Feb 6, 2013·Journal of the American Geriatrics Society·Katherine R WaiteMichael K Paasche-Orlow
Oct 8, 2013·PloS One·Wilma J NusselderEd F van Beeck
Mar 22, 2014·Palliative Medicine·Arianne Brinkman-StoppelenburgAgnes van der Heide
Jul 30, 2014·Annals of Internal Medicine·Mary ButlerRobert L Kane

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Citations

Dec 29, 2016·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Alexander K LeungStephen W Hwang
Jan 31, 2019·The American Journal of Hospice & Palliative Care·Joshua A RolnickScott D Halpern
Mar 8, 2019·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Whitney StoneAnnette Mendola
Mar 18, 2020·Journal of Palliative Medicine·Lauren M KaplanMargot Kushel
Jun 9, 2019·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Laura Kaplan-WeismanCasey Crump
Aug 7, 2019·Journal of General Internal Medicine·Michelle J FleshnerJulie W Childers
Jul 16, 2019·Journal of Aging and Health·Laura Kaplan-WeismanCasey Crump
May 5, 2021·BMJ Supportive & Palliative Care·Richard JamesTammy Oxley

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