In a national survey published in the Journal of Medical Ethics, Joan McCarthy and colleagues found that only 3% of respondents report an understanding of the term "advance directive." The study concludes: that it "paints a picture of a general public that is not very comfortable with or informed about the processes of dying and death. Great sensitivity is required of health professionals who must negotiate the timing and the context of breaking of bad news with patients and families. Educational interventions, public and organisational policies and legislation need to address the uncertainty that surrounds the role of professionals and families in making decisions for dying patients."
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