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

3 years 2 months 6 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
PARIS (AP) - Health workers in Paris received a massive show of appreciation thanks to the Eiffel Tower. The... More >>
5 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 11:47:00 PM CDT March 27, 2020 in News
BOSTON (AP) - States are imposing new restrictions for travelers from the New York area, the epicenter for the nation's... More >>
5 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 11:45:00 PM CDT March 27, 2020 in News
GREENE COUNTY - The Springfield-Greene County Health Department is "epi-linking" COVID-19 cases. A person's case is epi-linked if they... More >>
6 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 10:46:00 PM CDT March 27, 2020 in News
ST. CHARLES COUNTY - According to a news release from The St. Charles County Health Department, a second person has... More >>
6 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 10:10:00 PM CDT March 27, 2020 in News
DETROIT (AP) - President Donald Trump issued an order to that seeks to force General Motors to produce ventilators for... More >>
7 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 9:43:00 PM CDT March 27, 2020 in News
CAMDEN COUNTY - There have been four confirmed cases of COVID-19 in Camden County and one death, according to the... More >>
8 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 8:06:00 PM CDT March 27, 2020 in News
COLUMBIA - Two University of Missouri Police Officers tested positive for COVID-19 and are currently being treated in isolation. ... More >>
9 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 7:46:00 PM CDT March 27, 2020 in News
COLUMBIA - Every year, Thomas holds a blood drive for her daughter and this year didn't change anything. Blood... More >>
9 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 7:19:00 PM CDT March 27, 2020 in News
COLE COUNTY - Officials signed a stay-at-home order for Cole County that will go into effect on Saturday at 5... More >>
11 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 5:58:00 PM CDT March 27, 2020 in News
COLUMBIA - Amid the COVID-19 pandemic, the University of Missouri system is restricting hiring and large purchases. The university... More >>
12 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 4:09:00 PM CDT March 27, 2020 in News
MEXICO - Stuffed animal hunts are the new cure for the ever-increasing cabin fever facing many mid-Missourians. This new... More >>
13 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 3:56:00 PM CDT March 27, 2020 in News
JEFFERSON CITY - Missouri Governor Mike Parson signed an executive order Thursday to mobilize the Missouri National Guard to assist... More >>
14 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 2:29:00 PM CDT March 27, 2020 in News
WASHINGTON (AP) — President Donald Trump has signed an unprecedented $2.2 trillion economic rescue package into law, after... More >>
14 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 2:15:00 PM CDT March 27, 2020 in News
COLUMBIA — As state and commercial testing is more available for the Missourians, the number of confirmed cases is rising.... More >>
14 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 2:00:00 PM CDT March 27, 2020 in News
COLUMBIA – Just about one week into COVID-19 quarantines across the United States and one common theme is emerging. We’re... More >>
15 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 1:37:00 PM CDT March 27, 2020 in News
AP — In some parts of the U.S., authorities say gun shops aren't essential businesses and should close during stay-at-home... More >>
16 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 12:39:25 PM CDT March 27, 2020 in News
COLUMBIA - Hospital beds in the mid-Missouri area could become overwhelmed from the spread of COVID-19, according to data from... More >>
17 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 11:02:00 AM CDT March 27, 2020 in News
COLUMBIA - A local retailer filling online orders raised questions this week about just how to define an essential business... More >>
18 hours ago Friday, March 27 2020 Mar 27, 2020 Friday, March 27, 2020 10:08:00 AM CDT March 27, 2020 in News
Columbia, MO
Broken Clouds 66°
5am 65°
6am 65°
7am 65°
8am 66°