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The VA Life‐Sustaining Treatment Decisions Initiative: A qualitative analysis of veterans with advanced kidney disease

Documentation of patients' goals of care is integral to promoting goal‐concordant care. In 2017, the Department of Veterans Affairs (VA) launched a system‐wide initiative to standardize documentation of patients' preferences… Click to show full abstract

Documentation of patients' goals of care is integral to promoting goal‐concordant care. In 2017, the Department of Veterans Affairs (VA) launched a system‐wide initiative to standardize documentation of patients' preferences for life‐sustaining treatments (LST) and related goals‐of‐care conversations (GoCC) that included using a note template in its national electronic medical record system. We describe implementation of the LST note based on documentation in the medical records of patients with advanced kidney disease, a group that has traditionally experienced highly intensive patterns of care.

Keywords: life sustaining; sustaining treatment; advanced kidney; kidney disease

Journal Title: Journal of the American Geriatrics Society
Year Published: 2022

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