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Elders' 'Day-At-A-Time' Approach Neglects PlanningSenior citizens must ensure that their Will, Living Will, Power of Attorney, funeral plans and healthcare directives are in orderJuly 19, 2002 -- If the results of a very small survey are applicable to senior citizens and elderly people in general, many in this group may not be doing all they can to prepare for serious future illness, researchers suggest. In a study of 20 chronically ill, housebound patients over 75 years of age, 16 said they did not think about the future or did not in general plan for the future. Most reported that they took a "one day at a time" or "what is to be will be" approach, according to the report. In general, physicians recommend elderly patients take the time to make plans for themselves in the event that they become seriously ill. For example, a person should select a "designated healthcare agent" --- someone who can make important decisions for them in case they are incapacitated by illness. This person can tell doctors if the patient wants measures to be taken to prolong their life, such as the insertion of a feeding tube, or if they want a resuscitation attempt made after cardiac arrest. "The willingness to consider future illness and the end of life, for example, is not universal; patients in some communities are reluctant to consider or speak about such matters," according to Dr. Joseph A. Carrese of Johns Hopkins University in Baltimore, Maryland. In the survey, Carrese's team "asked a group of
chronically ill elderly patients about their views on advance planning of
care." This was not surprising to PartingWishes.com CEO Tim Hewson. "Although this is not a large sample, the results do represent the anecdotal evidence that we have seen from many prospective customers." He notes that "in this study of elderly, chronically ill patients, few had completed basic planning for the sake of their loved ones. At PartingWishes.com, we try to emphasize that a few simple acts including setting up your healthcare directives, can save a great deal of stress and trauma for your family. If you do not give your loved ones simple guidance for how you wish to be cared for, you may even be the cause of bitter disputes among relatives which can divide families for good." Hewson goes on to say: "More importantly, one's Will, Living Will and healthcare directives should be set up now. There is nothing to be gained by waiting, and it doesn't make sense to plan to do it next week, when your relatives may need this information tomorrow." (From Reuters Health News, Friday July 19, 2002)
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