New study calls for more attention to end-of-life directives

1 year 8 months 5 days ago Thursday, January 19 2017 Jan 19, 2017 Thursday, January 19, 2017 2:40:00 PM CST January 19, 2017 in News
By: Khaki Martin, KOMU 8 Reporter
loading

COLUMBIA - New research from the University of Missouri School of Social work called for more attention to advanced directives, to ease the hardship of making difficult end-of-life medical decisions. 

The study said attention to the use of advanced directives in nursing homes may reduce unnecessary care and save health care costs.

Advanced directives, or living wills, are legal documents that an individual uses to communicate medical treatment preferences, in the event that the individual cannot speak for himself or herself. 

A nearly $15 million grant from the U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services funded the study. The team then received an additional $19.8 million grant to expand the nursing home improvement project. 

Colleen Galambos, the director of the graduate certificate in Gerontological Social Work program, spearheaded the study with her team of researchers, working with sixteen skilled-nursing home facilities. They analyzed more than 1,800 medical records.

"We found that in about 50 percent of the charts there was an advanced directive, which is slightly lower than national average which tends to be about 70 to 75 percent," Galambos said. 

She said having an advanced directive on file helps the nursing facility understand whether patients should be sent to a hospital, or if they can be treated within the skilled nursing facility.

"With that information in the chart, we're better able to respond accordingly to the wishes of the individual," she said. "Another option designates a person, who we call surrogate decision makers, a person who can speak on your behalf in the event that you are unable to speak for yourself." 

Most people set up advanced directives during a medical crisis, which Galambos said is the worst time to act.

"You’re never too young to have an advanced directive, and most importantly, if you have grandparents, or parents, and you don't know what kind of care it is they would like when they get into a situation where they’re not able to speak for themselves, start having those discussions," Galambos said. 

The study was published recently in Health and Social Work, a journal of the National Association of Social Workers.

Marilyn Rantz, Gregory Petroski and Julie Starr co-authored the study with Galambos. 

More News

Grid
List
COLUMBIA - A teenager pleaded guilty in connection with a 2016 homicide on Claudell Lane, but prosecutors dropped a murder... More >>
20 minutes ago Tuesday, September 25 2018 Sep 25, 2018 Tuesday, September 25, 2018 11:52:00 AM CDT September 25, 2018 in News
CHILICOTHE - A Holts Summit woman convicted of murdering her husband died in prison, according to an obituary published by... More >>
35 minutes ago Tuesday, September 25 2018 Sep 25, 2018 Tuesday, September 25, 2018 11:36:59 AM CDT September 25, 2018 in News
(CNN) -- President Donald Trump stepped up to the iconic dais at the United Nations General Assembly on Tuesday on... More >>
55 minutes ago Tuesday, September 25 2018 Sep 25, 2018 Tuesday, September 25, 2018 11:17:14 AM CDT September 25, 2018 in News
JEFFERSON CITY, Mo. (AP) — Missouri Gov. Mike Parson says state tax credits for low-income housing won't be issued until... More >>
1 hour ago Tuesday, September 25 2018 Sep 25, 2018 Tuesday, September 25, 2018 10:36:00 AM CDT September 25, 2018 in News
(CNN) -- Matthias Katsch says he was 13 years old when a priest at his Jesuit school in Berlin first... More >>
1 hour ago Tuesday, September 25 2018 Sep 25, 2018 Tuesday, September 25, 2018 10:29:43 AM CDT September 25, 2018 in News
MARIES COUNTY - A K-9 unit found a large amount of drugs in a truck caught speeding in Vichy, the... More >>
2 hours ago Tuesday, September 25 2018 Sep 25, 2018 Tuesday, September 25, 2018 9:35:00 AM CDT September 25, 2018 in News
COLUMBIA - 'Welcome Home' and 'Cars4Heroes' gave a new car to an Army veteran who now makes a living out... More >>
4 hours ago Tuesday, September 25 2018 Sep 25, 2018 Tuesday, September 25, 2018 8:03:00 AM CDT September 25, 2018 in News
COLUMBIA - In the past the the Roots N Blues N BBQ festival has consisted of three days of music,... More >>
4 hours ago Tuesday, September 25 2018 Sep 25, 2018 Tuesday, September 25, 2018 7:32:00 AM CDT September 25, 2018 in News
COLUMBIA - JEFFTRAN will host an open house Tuesday to discuss proposed changes to the city’s existing bus routes. ... More >>
10 hours ago Tuesday, September 25 2018 Sep 25, 2018 Tuesday, September 25, 2018 2:03:00 AM CDT September 25, 2018 in News
SAN FRANCISCO (AP) — The co-founders of Instagram are resigning their positions with the social media company without explanation. ... More >>
13 hours ago Monday, September 24 2018 Sep 24, 2018 Monday, September 24, 2018 11:02:00 PM CDT September 24, 2018 in News
COLUMBIA - Friends and loved ones of MU student Perri A. Jones mourned the loss of Jones at a vigil... More >>
15 hours ago Monday, September 24 2018 Sep 24, 2018 Monday, September 24, 2018 8:14:00 PM CDT September 24, 2018 in News
JEFFERSON CITY - More church volunteers are heading to North Carolina Monday night to help communities deal with Hurricane Florence.... More >>
17 hours ago Monday, September 24 2018 Sep 24, 2018 Monday, September 24, 2018 6:50:00 PM CDT September 24, 2018 in News
JEFFERSON CITY (AP) — The Missouri Supreme Court won't reconsider a ruling allowing voters to decide on a ballot measure... More >>
18 hours ago Monday, September 24 2018 Sep 24, 2018 Monday, September 24, 2018 5:33:41 PM CDT September 24, 2018 in News
MILLER COUNTY - Officials say they arrested a suspect in Chicago for the June murder of Tyler J. Worthington. ... More >>
18 hours ago Monday, September 24 2018 Sep 24, 2018 Monday, September 24, 2018 5:28:00 PM CDT September 24, 2018 in News
JEFFERSON CITY (AP) — Missouri Attorney General Josh Hawley is defending his lawsuit against the operators of a duck boat... More >>
19 hours ago Monday, September 24 2018 Sep 24, 2018 Monday, September 24, 2018 4:30:25 PM CDT September 24, 2018 in News
BOONVILLE - Police are searching for a man who stole gasoline, according to a Facebook post Monday morning. Boonville... More >>
20 hours ago Monday, September 24 2018 Sep 24, 2018 Monday, September 24, 2018 4:00:00 PM CDT September 24, 2018 in News
COLUMBIA - Border security and immigration continue to be huge issues for Missouri's November senate race between Sen. Claire McCaskill,... More >>
20 hours ago Monday, September 24 2018 Sep 24, 2018 Monday, September 24, 2018 4:00:00 PM CDT September 24, 2018 in News
JEFFERSON CITY (AP) — The U.S. attorney's office says a former central Missouri tax collector has pleaded guilty to embezzling... More >>
20 hours ago Monday, September 24 2018 Sep 24, 2018 Monday, September 24, 2018 3:38:00 PM CDT September 24, 2018 in News
Columbia, MO
Broken Clouds 80°
1pm 79°
2pm 80°
3pm 80°
4pm 80°