ASSESSING PATIENT VALUES FIRST: CREATING A PLATFORM FOR ADVANCE CARE PLANNING (ACP) IN THE ADULT ONCOLOGY POPULATION
| Autor: | Deb Harrison, Cynthia Taniguchi, Sabrina Q. Mikan, Russell Hoverman |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Advance care planning
Oncology education.field_of_study medicine.medical_specialty Descriptive statistics Oncology (nursing) business.industry media_common.quotation_subject Population Psychological intervention Medicine (miscellaneous) General Medicine Test (assessment) Likert scale Medical–Surgical Nursing Feeling Nursing Family medicine Internal medicine Health care Medicine business education media_common |
| Zdroj: | BMJ Supportive & Palliative Care. 3:229.3-230 |
| ISSN: | 2045-4368 2045-435X |
| DOI: | 10.1136/bmjspcare-2013-000491.14 |
| Popis: | Background Patients, families and health care providers can be apprehensive about having end-of-life (EOL) conversations in Oncology. However, asking patients about personal values regarding their healthcare goals creates a platform for more in depth conversations. Aim To test a structured process for identifying eligible patients for upstream advance care planning (ACP) conversations through development and validation of a quantitative instrument. Methods Recruitment was conducted at seven cancer centres in the USOncology Network over a 90-day pilot study. A cross-sectional descriptive design was used in 301 metastatic cancer patients. Sixty-three participants completed the questionnaire. The 13-item instrument was created after a literature review regarding EOL choices and interventions using a 5-point Likert scale. Descriptive statistics were examined, in addition to analysis of the relationships between items using Pearson9s r correlations. Results 59% of participants were female, predominantly Caucasian, with a mean age of 66 years. 68% reported the importance of being told by their oncologist when dying. Additionally, 76% reported the importance of selecting who would make medical decisions for them. Lastly, 62% reported the importance of choosing where their EOL medical care occurs. There was a significant association between discussing feelings about dying and being told by a physician when dying, (r=0.373, p Discussion and Conclusion The instrument allows for healthcare providers to understand the patient9s needs, creating a segue for patient collaboration during EOL care. ACP conversations can be further developed through review of the validated instrument in adults with life-limiting illness in Oncology. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|