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Nebraska veterans' preferences for end-of-life care.

More than 1,800 veterans die in a variety of healthcare settings each day, illustrating a need to improve their end-of-life (EOL) care. In 2006, the Nebraska End-of-Life Survey was mailed to 2,713 urban and rural Nebraskan adults' homes; 44 of 324 first-time respondents (14%) were veterans. This art...

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Published in:Clinical Journal of Oncology Nursing Vol. 13; no. 4; pp. 399 - 404
Main Authors: Freeman SL, Berger AM
Format: research tables/charts Journal Article
Published: Oncology Nursing Society Aug2009
Online Access:View this record in EBSCOhost
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      dt: Aug2009
      vid: 13
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      pub: Oncology Nursing Society
      place: Pittsburgh, Pennsylvania
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        10.1188/09.CJON.399-403
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        atl: Nebraska veterans' preferences for end-of-life care.
      aug:
        au:
          Freeman SL
          Berger AM
        affil: Veterans Affairs Medical Center, Omaha, NE, USA. Shanna.Freeman@va.gov
      sug:
        subj:
          Terminal Care
          Veterans Nebraska
          Advance Directives
          Attitude to Death
          Chi Square Test
          Communication
          Comparative Studies
          Descriptive Research
          Descriptive Statistics
          Fear Evaluation
          Living Wills
          Mail
          Nebraska
          Oncology Nursing
          Questionnaires
          Random Sample
          Resuscitation Orders
          Summated Rating Scaling
          T-Tests
          Human
      ab: More than 1,800 veterans die in a variety of healthcare settings each day, illustrating a need to improve their end-of-life (EOL) care. In 2006, the Nebraska End-of-Life Survey was mailed to 2,713 urban and rural Nebraskan adults' homes; 44 of 324 first-time respondents (14%) were veterans. This article compares survey responses from veterans and nonveterans and discusses four issues: personal desires during the dying process, fear of dying, completion of advance directives, and communication preferences. Compared to nonveterans, veterans were significantly less likely to want friends or family visiting at EOL, less likely to place importance on being at peace spiritually, less afraid of dying alone, more likely to turn to a spouse to initiate EOL conversations, and less trusting of primary physicians on EOL issues. In addition, veterans had higher rates of completion of advance directives. Examining the survey responses can help guide clinical oncology nurses in delivering EOL care to veterans.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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