Abstract
Session presented on Friday, September 26, 2014:
End-of-life care in the United States is described as deficient and fragmented. Minority populations engage in end-of-life planning less frequently than Caucasians. African Americans represent the second largest minority group in the United States with its older adult population projected to increase by 114% by 2030. The Patient-Self Determination Act of 1990 requires Medicare and Medicaid funded healthcare organizations to empower patients to refuse or accept medical care and execute advance directives. The Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) confirmed substantial shortcomings of healthcare for seriously ill patients near the end of life. From this study came the Institute of Medicines report Approaching Death: Improving Care at the End of Life, which further demonstrated the need for evidence-based end-of-life care models. End-of-life care is the broad term used to describe the attention and support given during the period leading to death. Advance directives are a mechanism to safeguard control over decision making when one can no longer express preferences for end-of-life care.
Sigma Membership
Beta Kappa
Lead Author Affiliation
University of Virginia, Charlottesville, Virginia, USA
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
End of Life, African Americans, Older Adults
Recommended Citation
Moss, Karen O. and Rose, Karen M., "End of life in African American older adults: An integrative literature review" (2024). Leadership. 31.
https://www.sigmarepository.org/leadership/2014/posters/31
Conference Name
Leadership Summit 2014
Conference Host
Sigma Theta Tau International
Conference Location
Indianapolis, Indiana, USA
Conference Year
2014
Rights Holder
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Acquisition
Proxy-submission
End of life in African American older adults: An integrative literature review
Indianapolis, Indiana, USA
Session presented on Friday, September 26, 2014:
End-of-life care in the United States is described as deficient and fragmented. Minority populations engage in end-of-life planning less frequently than Caucasians. African Americans represent the second largest minority group in the United States with its older adult population projected to increase by 114% by 2030. The Patient-Self Determination Act of 1990 requires Medicare and Medicaid funded healthcare organizations to empower patients to refuse or accept medical care and execute advance directives. The Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) confirmed substantial shortcomings of healthcare for seriously ill patients near the end of life. From this study came the Institute of Medicines report Approaching Death: Improving Care at the End of Life, which further demonstrated the need for evidence-based end-of-life care models. End-of-life care is the broad term used to describe the attention and support given during the period leading to death. Advance directives are a mechanism to safeguard control over decision making when one can no longer express preferences for end-of-life care.