Advanced Directives & End-of-Life Issues for African Americans

Episode 12: Bridging the Gap: Conversations with Dr. Hall 

Literature consistently shows lower engagement in advanced-care-planning among ethnic and racial minority groups when compared to Whites. A recent study with a nationally representative sample reported that only 18% of ethnic minority participants completed advance directives compared to 34% of White respondents. Studies in hospital settings also found lower rates of discussion about advanced-care-planning with a physician during the hospitalization among racial/ethnic minority patients when compared to Whites. Given that engagement in advanced-care-planning and end-of life discussions positively influences the quality of life near its end, a lower engagement in these meaningful discussion among ethnic minorities can lead to inadequate care at the last stage of life, exacerbating earlier health disparities. There are also significant differences in the treatment of pain in African Americans, as well as the perception of pain, and potential for abuse. 

Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on 7/27/2023 and they are subject to change as new information is published.

Learning Objectives

  • Review the data related to advanced directives in racial/ethnic minorities 
  • Explore the cultural aspects of end-of-life care planning for African Americans 
  • Examine pain and pain management issues unique to African Americans

Additional Information

Course summary
Available credit: 
  • 1.00 AANP Contact Hours
  • 0.33 AANP Pharmacology Contact Hours
  • 1.00 AMA PRA Category 1 Credit
Course opens: 
Course expires: 

Available Credit

  • 1.00 AANP Contact Hours
  • 0.33 AANP Pharmacology Contact Hours
  • 1.00 AMA PRA Category 1 Credit
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This course is offered through Pri-Med. 


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