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Feasibility of hospital-initiated non-facilitator assisted advance care planning documentation for patients with palliative care needs
- Source :
- BMC Palliative Care, Vol 17, Iss 1, Pp 1-8 (2018), Journal of palliative care, 17(79):79. BMC, BMC Palliative Care
- Publication Year :
- 2018
-
Abstract
- Background Advance Care Planning (ACP) and its documentation, accessible to healthcare professionals regardless of where patients are staying, can improve palliative care. ACP is usually performed by trained facilitators. However, ACP conversations would be more tailored to a patient’s specific situation if held by a patient’s clinical healthcare team. This study assesses the feasibility of ACP by a patient’s clinical healthcare team, and analyses the documented information including current and future problems within the palliative care domains. Methods This multicentre study was conducted at the three Groningen Palliative Care Network hospitals in the Netherlands. Patients discharged from hospital with a terminal care indication received an ACP document from clinical staff (non-palliative care trained staff at hospitals I and II; specialist palliative care nurses at hospital III) after they had held ACP conversations. An anonymised copy of this ACP document was analysed. Documentation rates of patient and contact details were investigated, and documentation of current and future problems were analysed both quantitatively and qualitatively. Results One hundred sixty ACP documents were received between April 2013 and December 2014, with numbers increasing for each consecutive 3-month time period. Advance directives were frequently documented (82%). Documentation rates of current problems in the social (24%), psychological (27%) and spiritual (16%) domains were low compared to physical problems (85%) at hospital I and II, but consistently high (> 85%) at hospital III. Of 545 documented anticipated problems, 92% were physical or care related in nature, 2% social, 5% psychological, and
- Subjects :
- Male
Advance care planning
medicine.medical_specialty
Palliative care
Pain medicine
lcsh:Special situations and conditions
Documentation
Advance Care Planning
03 medical and health sciences
0302 clinical medicine
Health care
medicine
Humans
Patient preference
030212 general & internal medicine
Program Development
End-of-life care [MeSH]
Aged
Netherlands
Aged, 80 and over
Patient Care Team
Terminal Care
Palliative care [MeSH]
business.industry
lcsh:RC952-1245
Palliative Care
Retrospective cohort study
General Medicine
Middle Aged
Hospitals
Retrospective studies
030220 oncology & carcinogenesis
Facilitator
Family medicine
Workforce
Advance directive [MeSH]
Advance care planning [MeSH]
Cohort studies
Female
business
Research Article
Cohort study
Subjects
Details
- Language :
- English
- ISSN :
- 08258597
- Volume :
- 17
- Issue :
- 79
- Database :
- OpenAIRE
- Journal :
- Journal of palliative care
- Accession number :
- edsair.doi.dedup.....d3f218e3c6c1f8b144d14740bfee9c49