This qualitative study examined factors that contribute to end of life decision-making regarding formulation of advance directives for individuals wit Show moreThis qualitative study examined factors that contribute to end of life decision-making regarding formulation of advance directives for individuals within the ‘baby boomer’ age range. Using a grounded theory methodology a substantive theory of awareness of end of life identifies four contexts under which advance directives are formulated and implemented. The L-A-M-P awareness model was identified through a series of interviews with fifteen individuals, who are considered generally well, and not anticipating imminent incapacity or death. My findings indicate that one’s prior personal experiences with death and dying are unique and these experiences may influence formulation of their own advance directives. The process of formulating written advance directives is complex. The individuals’ written advance directives ranged from simple declarative request for no heroic measures to a list of criteria and conditions under which certain treatments are to be administered or restricted. Show less
