Members of the American Geriatrics Society,

We request your participation in a brief online survey about your experiences working with socially isolated and vulnerable elderly patients.


Purpose:  The “AGS Position Statement: Making Medical Treatment Decisions for Unbefriended Older Adults”1 hich proposed policy and practice guidelines for patients who are “unbefriended” or at risk for becoming so.  We want to learn more about your experiences working with such patients and the strategies you have developed.

 

Information about the survey:

  • It’s completely voluntary.
  • Your answers will remain anonymous – no identifying information will be collected about your or your patients.  Your IP address will not be collected. 
  • It will take about 15 minutes to complete. 
  • The survey is being distributed to the AGS membership nationwide (approx. 5,000 members).
  • At the end of the survey, if you are interested, you may enter a drawing to win a free iPad.
  • The project has been reviewed and approved by the Research and Institutional Review Board Committees of VA Boston Healthcare System and the Ethics Committee and executive board of the American Geriatrics Society.
  • The project received funding from the Guardianship Policy Institute.

 

We are eager to gain your valuable perspective on these important issues.

 

Sincerely, 

 

Timothy Farrell, M.D., AGSF

University of Utah School of Medicine

VA Salt Lake City Geriatric Research, Education, and Clinical Center

 

Eric Widera, M.D.

University of California, San Francisco

San Francisco VAMC

 

Aanand Naik, M.D.

Baylor College of Medicine

Michael E. DeBakey VAMC

 

Jennifer Moye, Ph.D., ABPP

New England Geriatric Research Education and Clinical Center

Harvard Medical School

 

Casey Catlin, M.A.

Boston VA Research Institute, Inc.

Boston VAMC

 

1Farrell, T., Widera, E., Rosenberg, L., Rubin, C.D., Naik, A.D., Braun, U., Torke, A., Li, I., Vitale, C., Shega, J.; Ethics, Clinical Practice and Models of Care, and Public Policy Committees of the AGS.

AGS Position Statement: Making Medical Treatment Decisions for Unbefriended Older Adults. Journal of the Am Geriatr Soc. 2016 Nov 22; doi: 10.1111/jgs.14586. PMID:27874181.



We will use the following definitions from the AGS position statement.  Some find these problematic – we’ll ask you more about this later.


DEFINITIONS:


An "unbefriended older adult" is a person who: 

(a) lacks decisional capacity to provide informed consent;

(b) has not executed an advance directive;

(c) lacks a legal surrogate (e.g., is without a family / friends - isolated, estranged, bereaved - and there is not a professional acting in that role)

 

An "adult orphan" is an older adult at risk of becoming unbefriended who: 

     (a) currently retains decisional capacity;

     (b) has not executed an advance directive;

     (c) lacks a legal surrogate (e.g. is without a family / friends - isolated, estranged, bereaved - and there is not a professional acting in that role)


Therefore, both a person considered "unbefriended" and an "adult orphan" are isolated and lack advance directives.  The difference is that the term "unbefriended" is used to describe a person who currently lacks capacity, whereas an "adult orphan" retains capacity.



What is the clinical setting you work in most often?
39163f38a1e44775802d3d6cbc6afb2b Outpatient - home or clinic based 
39163f38a1e44775802d3d6cbc6afb2b Outpatient - other 
39163f38a1e44775802d3d6cbc6afb2b Inpatient - acute care 
39163f38a1e44775802d3d6cbc6afb2b Inpatient - rehab / subacute 
39163f38a1e44775802d3d6cbc6afb2b Inpatient - long term care 
39163f38a1e44775802d3d6cbc6afb2b Inpatient - other 
What is your panel size (outpatient) or average daily census (inpatient)?

If your primary work setting is INPATIENT, please answer the questions below, #3 - #12.

If your primary work setting is OUTPATIENT or LONG TERM CARE, please skip to question #13.  

If you work in both INPATIENT and OUTPATIENT or LONG TERM CARE, you may answer all questions if you wish.

 

Definition Reminder.  An "unbefriended older adult"

> No decisional capacity

> No advanced directive

> No legal surrogate (family or professional)


Before this survey, had you heard of the term "unbefriended"?

39163f38a1e44775802d3d6cbc6afb2b Yes 
39163f38a1e44775802d3d6cbc6afb2b No 
In the past year, how often have you cared for an "unbefriended" older adult?
39163f38a1e44775802d3d6cbc6afb2b Weekly (>1 time per week) 
39163f38a1e44775802d3d6cbc6afb2b Monthly (1-3 times per month) 
39163f38a1e44775802d3d6cbc6afb2b Quarterly (3-4 times per year) 
39163f38a1e44775802d3d6cbc6afb2b Annually (1 time per year) 
39163f38a1e44775802d3d6cbc6afb2b Never 
Have your unbefriended patients/ your team faced any of these problems?
NeverRarelySometimesFrequently
Prolonged hospital stay, past a medically necessary point
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39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Delay in treatment or surgery
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
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Delay in appropriately transitioning the patient to hospice or end of life care
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39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
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Unable to provide the patient something that may improve quality of life
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Delay in authorizing charges/coverage for care
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39163f38a1e44775802d3d6cbc6afb2b
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Loss of rehabilitation ability/potential in patient
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
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We had to continue with what seemed like medically non-beneficial care
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39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
I experienced personal distress because of an inability to act in my professional role
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
The patient was in physical or psychological distress
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Other: describe below
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
If Other, please describe - also any additional comments?

Please briefly describe a recent example of a situation you encountered with an unbefriended older adult. What was challenging about working with this patient? How did you proceed?

For example:  “An adult with dementia and without known family or friends  lacked consent capacity.  Nursing home placement was recommended to facilitate rehabilitation from a hip fracture.  The nursing home would not accept the patient without a legal surrogate.  The patient remained in the inpatient setting for 68 days.  It was difficult to manage him on the inpatient setting due to his wandering and other dementia-related behaviors.”
What practices, strategies, or resources have you used to meet the needs of unbefriended older adults in your practice/ institution?

Many find the term “unbefriended” to be stigmatizing, undesirable, or not adequately descriptive. Alternatives are often wordy (e.g., “incapacitated, isolated, and unrepresented”).  Do you have suggestions for a different term to describe an older adult who lacks decisional capacity, lacks advance directives, and lacks a legal surrogate?

Below is a list of possible alternative terms for “unbefriended” (adult who lacks decisional capacity, lacks advance directives, and lacks family or friends able to serve as surrogate).

Please rank your top three choices (1-most desirable) for an alternative term.
Top ChoiceSecond ChoiceThird Choice
      1            2            3      
Unrepresented adult
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Incapacitated and alone
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Vulnerable isolated adult
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Unaccompanied adult
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Solitary adult
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Incapacitated adult without advocates
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Surrogate-less
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Proxy-less
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Proxy Vacans (Latin for "vacant proxy")
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Non Advocatus (Latin for "no advocate")
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Non Surrogatus (Latin for "no surrogate")
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Non Amicum (Latin for "no friend")
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Adultum Solum (Latin for "alone adult")
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
None of these - I prefer the term "unbefriended"
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
What is your highest professional degree?
39163f38a1e44775802d3d6cbc6afb2b MD/ DO 
39163f38a1e44775802d3d6cbc6afb2b PA  
39163f38a1e44775802d3d6cbc6afb2b NP 
39163f38a1e44775802d3d6cbc6afb2b RN 
39163f38a1e44775802d3d6cbc6afb2b PhD 
39163f38a1e44775802d3d6cbc6afb2b PharmD 
39163f38a1e44775802d3d6cbc6afb2b MSW 
39163f38a1e44775802d3d6cbc6afb2b Other 
What U.S. state do you practice in?
Optional: If you would be interested in participating in a future focus group or interview to discuss these topics in greater depth, please leave your name and contact information (email address or phone number) so we may follow up with you.

OUTPATIENT & LONG TERM CARE survey begins here



 

Definition Reminder.  An "unbefriended older adult"

> No decisional capacity

> No advanced directive

> No legal surrogate (family or professional)


Before this survey, had you heard of the term "unbefriended"?
39163f38a1e44775802d3d6cbc6afb2b Yes 
39163f38a1e44775802d3d6cbc6afb2b No 
In the past year, how often have you cared for an "unbefriended" older adult?
39163f38a1e44775802d3d6cbc6afb2b Weekly (>1 time per week) 
39163f38a1e44775802d3d6cbc6afb2b Monthly (1-3 times per month) 
39163f38a1e44775802d3d6cbc6afb2b Quarterly (3-4 times per year) 
39163f38a1e44775802d3d6cbc6afb2b Annually (1 time per year) 
39163f38a1e44775802d3d6cbc6afb2b Never 
Which clinical situations have brought a patient’s unbefriended status to your attention?
RarelySometimesFrequentlyN/A
Consent for medical procedure
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39163f38a1e44775802d3d6cbc6afb2b
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Concern re: medication self-management
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39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Concern re: safety
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39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Concern re: driving
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Elder Abuse/ Adult Protective issue
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Advance care planning process
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39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Other: please describe below
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
If other, please describe - also any additional comments?
Please briefly describe a recent example of a situation you encountered with an unbefriended older adult. What was challenging about working with this patient? How did you proceed? (Note: do not include any identifying information).
For example:  “An adult with dementia and without known family or friends lacked consent capacity.  Nursing home placement was recommended to facilitate rehabilitation from a hip fracture.  The nursing home would not accept the patient without a legal surrogate.  The patient remained in the inpatient setting for 68 days.  It was difficult to manage him on the inpatient setting due to his wandering and other dementia-related behaviors.”

What practices, strategies, or resources have you used to meet the needs of unbefriended older adults in your practice/ institution?
Many find the term “unbefriended” to be stigmatizing, undesirable, or not adequately descriptive. Alternatives are often wordy (e.g., “incapacitated, isolated, and unrepresented”). Do you have suggestions for a different term to describe an older adult who lacks decisional capacity, lacks advance directives, and lacks a legal surrogate? 
 
Below is a list of possible alternative terms for “unbefriended” to describe an older adult who lacks decisional capacity, lacks advance directives, and lacks family or friends able to serve as surrogate.

Please rank your top three choices (1-most desirable) for an alternative term.
Top ChoiceSecond ChoiceThird Choice
      1            2            3      
Unrepresented adult
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Incapacitated and alone
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Vulnerable isolated adult
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Unaccompanied adult
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Solitary adult
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Incapacitated adult without advocates
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Surrogate-less
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Proxy-less
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Proxy Vacans (Latin for “vacant proxy”)
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Non Advocatus (Latin for “no advocate”)
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Non Surrogatus (Latin for “no surrogate”)
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Non Amicum (Latin for “no friend”)
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Adultum Solum (Latin for “alone adult”)
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
None of these – I prefer the term “unbefriended”
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b

ADULT ORPHANS:


These final questions seek your input on ways to prevent “adult orphans” from becoming unbefriended. 

 
 

Definition Reminder.  An "adult orphan"

> Has decisional capacity

> No advanced directive

> No legal surrogate (family or professional)


Are there things you do to identify adult orphans in your practice / institution?
39163f38a1e44775802d3d6cbc6afb2b Yes 
39163f38a1e44775802d3d6cbc6afb2b No 
39163f38a1e44775802d3d6cbc6afb2b Unsure 
If you have instituted or could envision a process, please describe:
What would your practice need in order to better identify adult orphans and prevent them from becoming unbefriended? Check all that apply (if any).
01a34a7d619644928a57bf08bce3cd6b Time 
01a34a7d619644928a57bf08bce3cd6b Advance care planning supported by Medicare reimbursement 
01a34a7d619644928a57bf08bce3cd6b Care manager 
01a34a7d619644928a57bf08bce3cd6b Social worker 
01a34a7d619644928a57bf08bce3cd6b Pathway to partner with community or volunteer agency 
01a34a7d619644928a57bf08bce3cd6b Other 
Many find the term “adult orphan” to be stigmatizing, undesirable, or not adequately descriptive. Do you have suggestions for a different term to describe an older adult who retains decisional capacity, has not executed an advance directive, and lacks a legal surrogate?
Below is a list of possible alternative terms for “adult orphan” to describe an older adult who retains decisional capacity, has not executed an advance directive, and lacks a legal surrogate. Please rank your top three choices (1-most desirable) for an alternative term.
Top ChoiceSecond ChoiceThird Choice
      1            2            3      
Elder orphan
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Isolated vulnerable adult
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Lone elder
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Isolated adult at risk
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Adult without advocates
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Unprotected adult
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Companionless
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Solitary adult
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Solo adult
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Proxy Vacans (Latin for “vacant proxy”)
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Non Advocatus (Latin for “no advocate”)
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Non Surrogatus (Latin for “no surrogate”)
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
39163f38a1e44775802d3d6cbc6afb2b
Non Amicum (Latin for “no friend”)
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Adultum Solum (Latin for “alone adult”)
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None of these – I prefer the term “adult orphan”
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What is your highest professional degree?
39163f38a1e44775802d3d6cbc6afb2b MD / DO 
39163f38a1e44775802d3d6cbc6afb2b NP 
39163f38a1e44775802d3d6cbc6afb2b PA 
39163f38a1e44775802d3d6cbc6afb2b RN 
39163f38a1e44775802d3d6cbc6afb2b PhD 
39163f38a1e44775802d3d6cbc6afb2b PharmD 
39163f38a1e44775802d3d6cbc6afb2b MSW 
39163f38a1e44775802d3d6cbc6afb2b Other: specify: 
What U.S. state do you practice in?
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