Content and implementation of advance care plans: A retrospective cohort study
| Autor: | Jason Fletcher, Pamela Jane Harvey, Laura Panozzo, Bernadette Ward |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Advance care planning
Male medicine.medical_specialty Project commissioning MEDLINE Plan (drawing) Choice Behavior Cohort Studies 03 medical and health sciences Advance Care Planning 0302 clinical medicine medicine Humans 030212 general & internal medicine Program Development Aged Retrospective Studies Aged 80 and over Terminal Care Withholding Treatment business.industry Medical record 030208 emergency & critical care medicine Retrospective cohort study Family medicine Female Family Practice business Cohort study |
| Zdroj: | Australian journal of general practice. 48(5) |
| ISSN: | 2208-7958 |
| Popis: | Background and objectives: The development of advance care plans (Plans) in general practice can be time consuming. End-of-life care should reflect an individual's documented preferences. The aim of this study was to examine the content and implementation of Plans in hospital during end-of-life care. Methods: A retrospective cohort study of the hospital medical records of decedents aged >=75 years was performed to assess Plan content and implementation. Results: Of the 536 decedents, 52 had a Plan. There were 17 cases where lifeprolonging treatment was given and contradicted preferences listed in the Plan. This included instances of intubation, surgery and curative medication. Discussion: General practice staff investment in advance care planning should be reflected in the utilisation of Plans and, where medically indicated, respect for patients' preferences. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|