First, the family members’ preference for life-sustaining treatment was
higher than the patients’ preference. The preference between the elderly and
their family members regarding life-sustaining treatment was statistically significant
with regards to oral nutrition, pain control through oral and anal
administration, pain control through intravenous administration, transfusion,
and admission to an intensive care unit. Second, looking at the agreement between
elderly and guardians regarding life-sustaining treatment, there was significant
concordance about general testing, oral nutrition, intravenous
hydration, intravenous nutrition, antibiotic treatment for severe infection with
low resiliency, admission to an intensive care unit, blood pressure increase
medication use, cardiopulmonary resuscitation, and tracheotomy.
Conclusion: It is essential for the medical staff to confirm agreement between
the elderly and their family members regarding life-sustaining treatment, and if
such a prior agreement is not feasible, the patient’s intention should be
considered more actionable than their family members.
*Corresponding
First, the family members’ preference for life-sustaining treatment washigher than the patients’ preference. The preference between the elderly andtheir family members regarding life-sustaining treatment was statistically significantwith regards to oral nutrition, pain control through oral and analadministration, pain control through intravenous administration, transfusion,and admission to an intensive care unit. Second, looking at the agreement betweenelderly and guardians regarding life-sustaining treatment, there was significantconcordance about general testing, oral nutrition, intravenoushydration, intravenous nutrition, antibiotic treatment for severe infection withlow resiliency, admission to an intensive care unit, blood pressure increasemedication use, cardiopulmonary resuscitation, and tracheotomy.Conclusion: It is essential for the medical staff to confirm agreement betweenthe elderly and their family members regarding life-sustaining treatment, and ifsuch a prior agreement is not feasible, the patient’s intention should beconsidered more actionable than their family members.*Corresponding
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