What is a common barrier to the completion of an advance directive for patients?

Fear of substandard care is indeed a common barrier to the completion of an advance directive for patients. Many individuals worry that having an advance directive in place might lead to a perception among healthcare providers that they are not worthy of aggressive treatment or that their care may be compromised. This fear can deter patients from articulating their preferences for end-of-life care, as they may fear that their wishes could be interpreted as a desire to receive less care or treatment.

Additionally, patients may be concerned about how their wishes will be honored in practice, especially if they perceive that healthcare providers might prioritize cost-saving measures or other considerations over their stated desires. This apprehension can lead to indecision or reluctance in completing advance directives, ultimately impacting the quality of care they may receive in the future. Understanding this barrier is crucial for healthcare professionals, as addressing these fears can facilitate more open discussions and encourage patients to document their wishes.