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Quality of life versus quantity of life issues are often discussed in relationship to the appropriateness of medical interventions in acute care settings. Quality of life is also the central theme in discussions of patient self-determination and the choice of hospice care. As the costs of long-term care rise and the numbers needing care increase, how do we decide if cost of care rather than quality of life is the driving mechanism in an individual’s care during their final years

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Final answer:

Decisions on end-of-life care involve managing the balance between an individual's quality of life and the costs associated with care. Preplanning and hospice care play key roles in ensuring personal autonomy and reducing familial burden. Ethical considerations, lifestyle choices, and philosophies like utilitarianism also influence such decisions.

Step-by-step explanation:

The question relates to the complex issues surrounding end-of-life care, specifically examining how decisions between quality of life and cost of care are made for individuals in their final years. Many people are now proactively making decisions about their old age while still young, which includes choosing independently managed housing with available care, setting up living wills, retirement planning, and granting medical power of attorney. Such preplanning aims to ensure a balance between autonomy and necessary care.

Research supports the benefits of hospice care, as it allows for comfort in the dying process at home and can extend life expectancy compared to non-hospice patients. Hospice care also gives emotional support to both the patient and their family, reducing the burden of care and improving coping mechanisms. Meanwhile, changing societal views on death, ethical concerns on end-of-life decisions by modern medicine, personal lifestyle choices affecting health outcomes, and philosophies such as utilitarianism all influence the decision-making process regarding end-of-life care.

Thus, the decisions involved in end-of-life care are multifaceted, balancing individual needs and preferences, cost considerations, and the ethics of medical interventions. Society continually grapples with the tension between giving proper care to the elderly and managing the cost and resource allocation efficiently while respecting patient autonomy and quality of life.

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