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Advance Care Directive Preferences in Women Veterans: A Snapshot.

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Title: Advance Care Directive Preferences in Women Veterans: A Snapshot.
Authors: West, Sharon K.1 Sharon.West2@va.gov, Peek, Brian1, Al-Achi, Antoine2, LeCompte, Doreen1
Source: Omega: Journal of Death & Dying. Mar2025, Vol. 90 Issue 4, p1925-1935. 11p.
Subject Terms: *Retrospective studies, *Research methodology, Power of attorney, Loss of consciousness, Psychology of women, Decision making in clinical medicine, Psychology of veterans, Life support systems in critical care, Medical records, Acquisition of data, Terminal care, Coma, Advance directives (Medical care), Patients' attitudes
Abstract: Prior research characterizes mainly male veteran preferences at end of life using the Veterans Administration Advance Directive (VA AD), there has been no specific studies focusing on women veteran's preferences concerning whether the AD is to be strictly (S) followed or to serve as a general guide (G). The purpose of this study was to describe women veteran preferences for life-sustaining treatments (LSTs) in various illness situations to assist providers in discussing end-of-life decisions. Additionally, we compared previously published LST preferences of male veterans with the study's sample. Using a descriptive retrospective approach, data was collected from 484 women veterans ADs between January 2010 and December 2019. Findings revealed that women tended to trend in the same direction as men, preferring to have advance directives serve as general guidance over being strictly followed. Unconscious/Coma/Vegetative was the only factor that was statistically significant for affecting the choice of following the AD. [ABSTRACT FROM AUTHOR]
Copyright of Omega: Journal of Death & Dying is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Advance Care Directive Preferences in Women Veterans: A Snapshot.
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  Data: <searchLink fieldCode="AR" term="%22West%2C+Sharon+K%2E%22">West, Sharon K.</searchLink><relatesTo>1</relatesTo><i> Sharon.West2@va.gov</i><br /><searchLink fieldCode="AR" term="%22Peek%2C+Brian%22">Peek, Brian</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Al-Achi%2C+Antoine%22">Al-Achi, Antoine</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22LeCompte%2C+Doreen%22">LeCompte, Doreen</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Omega%3A+Journal+of+Death+%26+Dying%22">Omega: Journal of Death & Dying</searchLink>. Mar2025, Vol. 90 Issue 4, p1925-1935. 11p.
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  Data: *<searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Power+of+attorney%22">Power of attorney</searchLink><br /><searchLink fieldCode="DE" term="%22Loss+of+consciousness%22">Loss of consciousness</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+women%22">Psychology of women</searchLink><br /><searchLink fieldCode="DE" term="%22Decision+making+in+clinical+medicine%22">Decision making in clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+veterans%22">Psychology of veterans</searchLink><br /><searchLink fieldCode="DE" term="%22Life+support+systems+in+critical+care%22">Life support systems in critical care</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Acquisition+of+data%22">Acquisition of data</searchLink><br /><searchLink fieldCode="DE" term="%22Terminal+care%22">Terminal care</searchLink><br /><searchLink fieldCode="DE" term="%22Coma%22">Coma</searchLink><br /><searchLink fieldCode="DE" term="%22Advance+directives+%28Medical+care%29%22">Advance directives (Medical care)</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Prior research characterizes mainly male veteran preferences at end of life using the Veterans Administration Advance Directive (VA AD), there has been no specific studies focusing on women veteran's preferences concerning whether the AD is to be strictly (S) followed or to serve as a general guide (G). The purpose of this study was to describe women veteran preferences for life-sustaining treatments (LSTs) in various illness situations to assist providers in discussing end-of-life decisions. Additionally, we compared previously published LST preferences of male veterans with the study's sample. Using a descriptive retrospective approach, data was collected from 484 women veterans ADs between January 2010 and December 2019. Findings revealed that women tended to trend in the same direction as men, preferring to have advance directives serve as general guidance over being strictly followed. Unconscious/Coma/Vegetative was the only factor that was statistically significant for affecting the choice of following the AD. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Omega: Journal of Death & Dying is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=182501351
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        Value: 10.1177/00302228221130115
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 1925
    Subjects:
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Power of attorney
        Type: general
      – SubjectFull: Loss of consciousness
        Type: general
      – SubjectFull: Psychology of women
        Type: general
      – SubjectFull: Decision making in clinical medicine
        Type: general
      – SubjectFull: Psychology of veterans
        Type: general
      – SubjectFull: Life support systems in critical care
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Terminal care
        Type: general
      – SubjectFull: Coma
        Type: general
      – SubjectFull: Advance directives (Medical care)
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
    Titles:
      – TitleFull: Advance Care Directive Preferences in Women Veterans: A Snapshot.
        Type: main
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          Name:
            NameFull: West, Sharon K.
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            NameFull: Peek, Brian
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            NameFull: Al-Achi, Antoine
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            NameFull: LeCompte, Doreen
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            – D: 01
              M: 03
              Text: Mar2025
              Type: published
              Y: 2025
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              Value: 00302228
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              Value: 90
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Omega: Journal of Death & Dying
              Type: main
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