| Autor: |
Charles, Lesley, Torti, Jacqueline M. I., Brémault-Phillips, Suzette, Dobbs, Bonnie, Tian, Peter G. J., Khera, Sheny, Abbasi, Marjan, Chan, Karenn, Carr, Frances, Parmar, Jasneet |
| Předmět: |
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| Zdroj: |
Canadian Geriatrics Journal; Mar2021, Vol. 24 Issue 1, p26-35, 10p |
| Abstrakt: |
Background With an ageing population, the incidence of dementia will increase, as will the number of persons requiring decision-making capacity assessments. For over 10 years, we have trained family physicians in conducting decision-making capacity assessments. Physician feedback post-training, however, has highlighted the need to integrate the decision-making capacity assessment process into the primary care context. The purpose of this study was to develop a decision-making capacity assessment clinical pathway for implementation in primary care. Methods A qualitative exploratory case-study design was used to obtain participants' perspectives regarding the utility of a visual algorithm detailing a decision-making capacity assessment clinical pathway for use in primary care. Three focus groups were conducted with family physicians (n=4) and allied health professionals (n=6) in two primary care clinics in Alberta. A revised algorithm was developed based on their feedback. Results In the focus groups, participants identified inconsistencies and a lack of standardization regarding decision-making capacity assessments within primary care, and provided feedback regarding a decision-making capacity assessment clinical pathway to make it more applicable to primary care. Participants described this pathway as appealing and straightforward; they also made suggestions to make it more primary care-centric. Participants indicated that the presented pathway would improve teamwork and standardization of decision-making capacity assessments within primary care. Conclusions Use of a decision-making capacity assessment clinical path- way has the potential to standardize decision-making capacity assessment processes in primary care, and support least intrusive and least restrictive patient outcomes for community-dwelling older adults. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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