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

Autor:	Wendrich-van Dael A; End-of-Life Care Research Group, Vrije Universiteit Brussel, Brussels, Belgium Annelien.van.Dael@vub.be.; Family Medicine and Chronic Care, Vrije Universiteit Brussel, Brussels, Belgium., Gilissen J; End-of-Life Care Research Group, Vrije Universiteit Brussel, Brussels, Belgium.; Family Medicine and Chronic Care, Vrije Universiteit Brussel, Brussels, Belgium.; Neurology, UCSF, San Francisco, California, USA., Van Humbeeck L; Department of Geriatric Medicine, University Hospital Ghent, Gent, Oost-Vlaanderen, Belgium., Deliens L; End-of-Life Care Research Group, Vrije Universiteit Brussel, Brussels, Belgium.; Medical Oncology, Ghent University Hospital, Ghent, Belgium., Vander Stichele R; Department of Pharmacology, University of Ghent, Ghent, Belgium., Gastmans C; Interfacultair Centrum voor Biomedische Ethiek en Recht, KULeuven, Leuven, Belgium., Pivodic L; End-of-Life Care Research Group, Vrije Universiteit Brussel, Brussels, Belgium.; Family Medicine and Chronic Care, Vrije Universiteit Brussel, Brussels, Belgium., Van den Block L; End-of-Life Care Research Group, Vrije Universiteit Brussel, Brussels, Belgium.; Family Medicine and Chronic Care, Vrije Universiteit Brussel, Brussels, Belgium.
Jazyk:	angličtina
Zdroj:	BMJ supportive & palliative care [BMJ Support Palliat Care] 2021 Sep; Vol. 11 (3), pp. 312-317. Date of Electronic Publication: 2021 Jun 23.
DOI:	10.1136/bmjspcare-2021-003008
Abstrakt:	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. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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