Surrogates' perceptions about feeding tube placement decisions

Patient Education and Counseling
Carmen LewisTimothy S Carey

Abstract

(1) To determine surrogates perceptions about who made the decision to place the feeding tube and who they would have preferred to have made the decision. (2) To determine surrogates' perceptions of the information they received to make this decision. Structured interviews with 246 surrogate decision-makers. Fifty-five percent of surrogates felt that the decision was made primarily by the surrogate, but 75% would prefer that the decision be shared with the physician. Surrogates reported that they discussed the benefits (80%) and the risks (72%) of feeding tube placement and discussed what life would be like with the feeding tube (65%) and without the feeding tube (67%). They also reported being asked if they understood the information (85%) and their thoughts about placement (56%). Despite receiving this information, 28 to 41% reported wanting more information about these aspects. Surrogates would have preferred greater physician participation in decisions about feeding tube placement and many reported that their informational needs were not completely met. These results suggest that physicians may be justified in taking a more active role in feeding tube decisions with surrogates and that many surrogates desire more informatio...Continue Reading

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Citations

Nov 5, 2008·Journal of Palliative Medicine·Laura C HansonTimothy S Carey
Jan 1, 2013·Journal of the American Medical Directors Association·E Amanda SnyderLaura C Hanson
Mar 18, 2008·Patient Education and Counseling·Elizabeth D Cox, Sonja E Raaum
Nov 19, 2011·Journal of the American Geriatrics Society·Laura C HansonSusan L Mitchell
Mar 12, 2011·Journal of the American Geriatrics Society·Laura C HansonTimothy S Carey
Aug 14, 2012·Journal of the American Geriatrics Society·Alexia M TorkeChristopher M Callahan
Sep 6, 2011·Patient Education and Counseling·Alexia M TorkeChristianna Purnell
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Jan 8, 2013·Clinical Nursing Research·Mary ErsekLaura C Hanson
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Jan 14, 2020·Journal of Aging Research·Ezekiel Oluwasayo Ijaopo, Ruth Oluwasolape Ijaopo

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