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Journal of Aging and Health
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Elderly Veterans' Beliefs Concerning Life-Sustaining Treatment and the Control of Their End-of-Life Health and Health Care

Keri L. Rodriguez

VA Pittsburgh Healthcare System University of Pittsburgh

Amanda J. Young

University of Memphis

Objective: This study used qualitative methods to explore patients' beliefs about control of their end-of-life health and health care. Method: The authors recruited 30 elderly patients from a large, urban Veterans Administration medical center in the United States and engaged them in semistructured interviews about end-of-life care concepts. Using grounded theory methods, they coded, categorized, and compared responses. Results: The authors discovered that patients' decisions about using life sustaining treatment were interconnected with their beliefs about their degree of control over circumstances and the role of external factors, including a higher power; institutions and individuals; medical interventions; medical conditions; and luck, chance, or fate. Discussion: The results shed light on why patients do or do not take active roles in advance decisions concerning the use of life-sustaining treatment.

Key Words: veterans • advance care planning • geriatrics • health locus of control • qualitative research

Journal of Aging and Health, Vol. 18, No. 5, 686-706 (2006)
DOI: 10.1177/0898264306293258
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