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

被引：14

作者：

Wendrich-van Dael, Annelien ^{[1
,2
]}

Gilissen, Joni ^{[1
,2
,3
]}

Van Humbeeck, Liesbeth ^{[4
]}

Deliens, Luc ^{[1
,5
]}

Vander Stichele, Robert ^{[6
]}

Gastmans, Chris ^{[7
]}

Pivodic, Lara ^{[1
,2
]}

Van den Block, Lieve ^{[1
,2
]}

机构：

[1] Vrije Univ Brussel, End Life Care Res Grp, Brussels, Belgium

[2] Vrije Univ Brussel, Family Med & Chron Care, Brussels, Belgium

[3] UCSF, Neurol, San Francisco, CA USA

[4] Univ Hosp Ghent, Dept Geriatr Med, Ghent, Oost Vlaanderen, Belgium

[5] Ghent Univ Hosp, Med Oncol, Ghent, Belgium

[6] Univ Ghent, Dept Pharmacol, Ghent, Belgium

[7] KULeuven, Interfac Ctr Biomed Ethiek Recht, Leuven, Belgium

来源：

BMJ SUPPORTIVE & PALLIATIVE CARE | 2021年 / 11卷 / 03期

基金：

欧盟地平线“2020”;

关键词：

communication; education and training; nursing Home care; COMMUNICATION; DEFINITION; EFFICACY;

D O I：

10.1136/bmjspcare-2021-003008

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

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.

引用

页码：312 / 317

页数：6

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