"What Not To Try For Advance Care Planning In Dementia" - Judy George
An advance care planning video did not affect do-not-hospitalize directives or overall proxy preferences for advanced dementia patients, results of the EVINCE randomized clinical trial found. By six months, do-not-hospitalize directives were the same for advanced care patients whether proxies watched a 12-minute advance care video or not, according to a study published in JAMA Internal Medicine. In parts of the country where aggressive interventions occur frequently among advanced dementia patients, the intervention might be more effective but needs to be incorporated sooner, said Nathan Goldstein, MD, professor of medicine, geriatrics and palliative medicine at the Icahn School of Medicine at Mount Sinai, and Harriet Mather, MD, MSc, research program coordinator for geriatrics and palliative medicine at the Icahn School of Medicine at Mount Sinai, in an accompanying editorial. “In these regions, the focus should primarily be on improving advance care planning much earlier and not waiting until dementia is advanced,” they wrote.
- Nathan E. Goldstein, MD, Professor, Medicine, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai
- Harriet L. Mather, MD, MSc, Research Program Coordinator, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai