Advance care planning in nursing homes: new conversation and documentation tools

Although advance care planning (ACP) is highly relevant for nursing home residents, its uptake in nursing homes is low. To meet the need for context-specific ACP tools to support nursing home staff in conducting ACP conversations, we developed the ACP+intervention. At its core, we designed three ACP...

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Detalles Bibliográficos
Autores principales: Wendrich-van Dael, Annelien, Gilissen, Joni, Van Humbeeck, Liesbeth, Deliens, Luc, Vander Stichele, Robert, Gastmans, Chris, Pivodic, Lara, Van den Block, Lieve
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Education
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8380900/
https://www.ncbi.nlm.nih.gov/pubmed/34162581
http://dx.doi.org/10.1136/bmjspcare-2021-003008
Descripción
Sumario:Although advance care planning (ACP) is highly relevant for nursing home residents, its uptake in nursing homes is low. To meet the need for context-specific ACP tools to support nursing home staff in conducting ACP conversations, we developed the ACP+intervention. At its core, we designed three ACP tools to aid care staff in discussing and documenting nursing home resident’s wishes and preferences for future treatment and care: (1) an extensive ACP conversation guide, (2) a one-page conversation tool and (3) an ACP document to record outcomes of conversations. These nursing home-specific ACP tools aim to avoid a purely document-driven or ‘tick-box’ approach to the ACP process and to involve residents, including those living with dementia according to their capacity, their families and healthcare professionals.

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