IT IS ALL ABOUT MONEY! Georges Haussmann gave Paris its marvelous sewer system. He also gave the world the Cost Benefit Theory. That Theory had its original application in the design of the the Paris sewer system, but since then it has been applied to every aspect of life, social life, economic life, even as this post reveals, human life. People, like human waste, are destined for the sewers if they cost too much to keep alive.
Tuesday, April 8, 2014
Advance Directives & Nursing Home Stays Associated with Less Aggressive End-of-Life Care for Patients with Severe Dementia
A new study in Health Affairs shows some material benefits of advance directives: “Advance Directives and Nursing Home Stays Associated with Less Aggressive End-of-Life Care for Patients with Severe Dementia.”
The authors found that that nearly 30 percent of patients with severe dementia remained in the community until death. Among those patients, having an advance directive in the form of a living will was associated with significantly less aggressive care at the end of life, compared to similar patients without an advance directive.
- Medicare spending ($11,461 less per patient)
- Likelihood of in-hospital death (17.9 percentage points lower)
- Use of the intensive care unit (9.4 percentage points lower)