And more often than not.

When patients choose a surrogate who is not the person doctors would generally consult or who not really become empowered as an alternative decision-maker under state laws, doctors are alerted to engage these patients within an advance care planning process that ensures the formal appointment of their preferred healthcare agent, Lipkin said. Emphasis on end-of-life care, terminal disease and the utilization or discontinuation of life-sustaining medical treatment [as in the Terri Schiavo case] has obscured the need for progress planning in the regular care of most competent adult individuals, Lipkin said.While 44 % said their pain is not controlled adequately, a vast majority believe their standard of living would ‘greatly improve’ if they could easily get their breakthrough cancer pain in order. Breakthrough Malignancy Pain Impacts Standard of living Profoundly, Including Sleep For most cancer sufferers and survivors, breakthrough cancer discomfort disrupts sleep, affects associations with family members negatively, limits one’s ability to perform home chores, and lessens their desire to take part in activities they would normally enjoy. Based on the survey: Almost three in four said breakthrough malignancy discomfort wakes them from a deep sleep at least one time a month76 % reported that breakthrough pain affects their capability to perform everyday home chores83 % indicated that breakthrough cancer discomfort impacts their desire to participate in certain actions ‘Breakthrough cancer discomfort doesn’t discriminate,’ said Rachel Lozano, age 26 from St.