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

Article indépendant

WENDRICH-VAN DAEL, Annelien | GILISSEN, Joni | VAN HUMBEECK, Liesbeth | DELIENS, Luc | VANDER STICHELE, Robert | GASTMANS, Chris | PIVODIC, Lara | VAN DEN BLOCK, Lieve

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.

https://spcare.bmj.com/content/early/2021/06/22/bmjspcare-2021-003008

Voir la revue «BMJ supportive & palliative care»

Autres numéros de la revue «BMJ supportive & palliative care»

Consulter en ligne

Suggestions

Du même auteur

Mixed methods process evaluation of an advanc...

Article | GILISSEN, Joni | PALLIATIVE MEDICINE

BACKGROUND: We developed the ACP+ intervention to support nursing home staff with implementation of advance care planning. While ACP+ was found to improve staff's self-efficacy, it did not change their knowledge about advance care...

Mixed methods process evaluation of an advanc...

Article indépendant | GILISSEN, Joni | PALLIATIVE MEDICINE

BACKGROUND: We developed the ACP+ intervention to support nursing home staff with implementation of advance care planning. While ACP+ was found to improve staff's self-efficacy, it did not change their knowledge about advance care...

Implementing advance care planning in routine...

Article indépendant | GILISSEN, Joni | Plos one | n°10 | vol.14

BACKGROUND: While various initiatives have been taken to improve advance care planning in nursing homes, it is difficult to find enough details about interventions to allow comparison, replication and translation into practice. OB...

De la même série

Intersectionality factors and equitable end-o...

Article indépendant | HUDSON, Briony F. | BMJ supportive & palliative care | n°e3 | vol.14

BACKGROUND: Efforts to minimise inequity in palliative and end-of-life care (PEoLC) are well-researched. This is frequently explained by differences related to singular factors. The concept of intersectionality recognises that the...

Dealing with cultural diversity in palliative...

Article indépendant | SIX, Stefaan | BMJ supportive & palliative care | n°1 | vol.13

Palliative care is increasingly confronted with cultural diversity. This can lead to various problems in practice. In this perspective article, the authors discuss in more detail which issues play a role in culture-sensitive palli...

Severe mental illness and palliative care : p...

Article indépendant | KNIPPENBERG, Inge | BMJ supportive & palliative care | n°3 | vol.13

OBJECTIVES: To explore perceptions, experiences and expectations with respect to palliative care of patients with severe mental illness (SMI) and an incurable, life-limiting chronic illness. METHODS: Face-to-face semistructured in...

The impact of routine Edmonton symptom assess...

Article indépendant | BARBERA, Lisa | BMJ supportive & palliative care | n°e1 | vol.13

Background: In 2007, Cancer Care Ontario began standardised symptom assessment as part of routine care using the Edmonton Symptom Assessment System (ESAS). Aim: The purpose of this study was to evaluate the impact of ESAS on recei...

Palliative care from the perspective of cance...

Article indépendant | ECONOMOS, Guillaume | BMJ supportive & palliative care | n°1 | vol.13

OBJECTIVE: Integrated palliative care for populations with cancer is now highly recommended. However, numerous physicians working in cancer care are still reluctant to refer patients to specialist palliative care teams. This study...

Chargement des enrichissements...