Featured Research

from universities, journals, and other organizations

Survey Compares Views Of Trauma Professionals, The Public On Dying From Injuries

Date:
August 18, 2008
Source:
JAMA and Archives Journals
Summary:
Most trauma professionals and members of the general public say they would prefer palliative care following a severe injury if physicians determined aggressive critical care would not save their lives, according to a report in the August issue of Archives of Surgery, one of the JAMA/Archives journals. However, trauma care professionals and other individuals differ in their opinions regarding patients' rights to demand care and the role of divine intervention in recovery from an injury.

Most trauma professionals and members of the general public say they would prefer palliative care following a severe injury if physicians determined aggressive critical care would not save their lives, according to a report in the August issue of Archives of Surgery, one of the JAMA/Archives journals. However, trauma care professionals and other individuals differ in their opinions regarding patients' rights to demand care and the role of divine intervention in recovery from an injury.

Trauma has been the third or fourth leading cause of death in the United States for the past 17 years, according to background information in the article. "Trauma poses unique issues to clinicians," the authors write. "Victims are unknown to them prior to the injury event and the clinicians frequently need to make rapid life and death decisions with little time to determine victims' values and preferences for care."

Lenworth M. Jacobs, M.D., M.P.H., of Hartford Hospital, Hartford, and the University of Connecticut School of Medicine, Farmington, and colleagues analyzed the results of two surveys conducted in 2005. One was a telephone survey of 1,006 members of the general public age 18 and older, and the other was a written survey mailed to medical directors at trauma centers, trauma nurses and emergency medical services personnel.

The researchers found that:

  • Similar percentages of the general public (46.2 percent) and trauma professionals (47.4 percent) had received emergency medical care in the past 10 years
  • 51.9 percent of the public and 62.7 percent of the professionals would prefer to be in the emergency department treatment area while an injured loved one was resuscitated
  • Most of the public (72.4 percent) and less than half (44.3 percent) of the professionals believe trauma patients have a right to demand care not ordered by a physician; however, most of both groups trust a physician's decision to withdraw treatment when it would be futile
  • Professionals were more likely to be organ donors than the general public (78.9 percent vs. 50.6 percent), and slightly more professionals report having a living will (40.4 percent vs. 35.7 percent)
  • Religious beliefs would be important to 41 percent of the public and 30.6 percent of the professionals when making decisions about their own medical care; more of the public (61.3 percent) than the professionals (20.2 percent) believe that a person in a persistent vegetative state could be saved by a miracle or that divine intervention could save a person when physicians believe treatment is futile (57.4 percent vs. 19.5 percent)

"The findings of the surveys pose challenges for trauma professionals, hospital administrators, insurers and society as a whole," the authors conclude. "Issues need to be discussed in the clinical and public arenas and within the curricula of health professional education. Rich and sensitive dialogue is needed so that all dying trauma patients and their families receive quality end-of-life care."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Lenworth M. Jacobs; Karyl Burns; Barbara Bennett Jacobs. Trauma Death: Views of the Public and Trauma Professionals on Death and Dying From Injuries. Archives of Surgery, 2008; 143 (8): 730 DOI: 10.1001/archsurg.143.8.730

Cite This Page:

JAMA and Archives Journals. "Survey Compares Views Of Trauma Professionals, The Public On Dying From Injuries." ScienceDaily. ScienceDaily, 18 August 2008. <www.sciencedaily.com/releases/2008/08/080818183518.htm>.
JAMA and Archives Journals. (2008, August 18). Survey Compares Views Of Trauma Professionals, The Public On Dying From Injuries. ScienceDaily. Retrieved April 20, 2014 from www.sciencedaily.com/releases/2008/08/080818183518.htm
JAMA and Archives Journals. "Survey Compares Views Of Trauma Professionals, The Public On Dying From Injuries." ScienceDaily. www.sciencedaily.com/releases/2008/08/080818183518.htm (accessed April 20, 2014).

Share This



More Health & Medicine News

Sunday, April 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Nine-Month-Old Baby Can't Open His Mouth

Nine-Month-Old Baby Can't Open His Mouth

Newsy (Apr. 19, 2014) Nine-month-old Wyatt Scott was born with a rare disorder called congenital trismus, which prevents him from opening his mouth. Video provided by Newsy
Powered by NewsLook.com
'Holy Grail' Of Weight Loss? New Find Could Be It

'Holy Grail' Of Weight Loss? New Find Could Be It

Newsy (Apr. 18, 2014) In a potential breakthrough for future obesity treatments, scientists have used MRI scans to pinpoint brown fat in a living adult for the first time. Video provided by Newsy
Powered by NewsLook.com
Little Progress Made In Fighting Food Poisoning, CDC Says

Little Progress Made In Fighting Food Poisoning, CDC Says

Newsy (Apr. 18, 2014) A new report shows rates of two foodborne infections increased in the U.S. in recent years, while salmonella actually dropped 9 percent. Video provided by Newsy
Powered by NewsLook.com
Scientists Create Stem Cells From Adult Skin Cells

Scientists Create Stem Cells From Adult Skin Cells

Newsy (Apr. 17, 2014) The breakthrough could mean a cure for some serious diseases and even the possibility of human cloning, but it's all still a way off. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins