Fidelity and Feasibility of a Brief Emergency Department Intervention to Empower Adults With Serious Illness to Initiate Advance Care Planning Conversations

Autor: Susan D. Block, Mohammad Adrian Hasdianda, Kei Ouchi, Richard E. Leiter, Lauren A. Fellion, Audrey C. Reust, James A. Tulsky, Miryam Yusufov
Rok vydání: 2018
Předmět:
Advance care planning
Adult
Male
medicine.medical_specialty
Teachable moment
Emergency Medical Services
media_common.quotation_subject
Critical Illness
Psychological intervention
Video Recording
Fidelity
Context (language use)
Pilot Projects
Physicians
Primary Care
Article
03 medical and health sciences
Advance Care Planning
0302 clinical medicine
Intervention (counseling)
medicine
Ambulatory Care
Humans
030212 general & internal medicine
General Nursing
media_common
Aged
Aged
80 and over
Primary Health Care
business.industry
Emergency department
Middle Aged
medicine.disease
Anesthesiology and Pain Medicine
Health Communication
030220 oncology & carcinogenesis
Family medicine
Feasibility Studies
Patient Compliance
Female
Neurology (clinical)
Patient Participation
business
Emergency Service
Hospital
Kidney disease
Zdroj: Journal of pain and symptom management. 56(6)
ISSN: 1873-6513
Popis: CONTEXT: Emergency Department (ED) visits provide opportunities to empower patients to discuss advance care planning (ACP) with their outpatient clinicians, but systematically developed, feasible interventions do not currently exist. Brief negotiated interview (BNI) interventions, which allow ED clinicians to efficiently motivate patients, have potential to meet this need. OBJECTIVES: We developed a BNI ED intervention to empower older adults with life-limiting illness to formulate and communicate medical care goals to their primary outpatient clinicians. This study assessed the fidelity and feasibility of this intervention in a high-volume ED. METHODS: We enrolled adult patients with serious illnesses (advanced cancer, congestive heart failure, chronic obstructive pulmonary disease, chronic kidney disease on dialysis, predicted survival
Databáze: OpenAIRE
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