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. 2022 Jan 22;161(6):1609–1619. doi: 10.1016/j.chest.2022.01.023

Table 2.

Summary of Content Found in Tweets About ACP

Topic Topic Key Words Representative Tweet Sentiment
Calls to establish ACP wish, decision, life, talk, think, power, attorney, choice, important, need “PLEASE FOR THE LOVE OF GOD establish an advance directive for if you’re incapacitated. Choose someone who will respect your wishes to be power of attorney!! Do NOT leave it up to chance…”a 0.46 (0.03 to 0.73)
National Healthcare Decisions Month learn, resource, national, #nhdd, talk, #acp, webinar, april, importance “Today is National Healthcare Decisions Day, a day designed to educate the public and healthcare providers about the importance of advance care planning… #NHDD2021”b 0.60 (0.36 to 0.77)
Research support, discussion, research, service, study, improve, work “Just published in #jqps: New study on communication tool for engaging patients in #advancecareplanning during the #covid19 pandemic…”b 0.13 (–0.48 to 0.51)
Personal experiences hospital, patient, die, sign, death, treatment, form, require, family “My mother had a DNR and when she had end of life hospice care I prayed for God to take her for days because of her suffering before I held her hand as she took her last breath….”c –0.27 (–0.66 to 0.38)
Legal advice decision, right, consent, legal, choice, against, decide, power, attorney “The law does not require the patient’s or next of kin’s permission to put a DNR on someone. A doctor or medical professional can put one on a person without even informing them, this is as the UK law stands right now.”d 0.08 (–0.49 to 0.48)
Discrimination home, death, disabled, old, notice, send, government, vulnerable, many “… We have likely prevented few if any deaths and the govt has created far more with DNR orders on the old and disabled and by sending sick old people out of hospitals to care homes.”d –0.51 (–0.79 to 0.08)
COVID-19 precautions mask, wear, please, sick, risk, worker, resource, waste, virus “… If you don’t wear a mask be sure to carry a copy of your DNR with you at all times. You don’t deserve a hospital bed if you won’t wear a mask.”a –0.05 (–0.51 to 0.44)

Sentiment is presented as median (interquartile range). ACP = advance care planning; DNR = do-not-resuscitate.

a

Individual user; predicted age, 19 to 29 years; predicted sex, female.

b

Organization account.

c

Nurse user; predicted age, 30 to 39 years; predicted sex, female.

d

Individual user; predicted age: ≥ 40 years, predicted sex, male.