First experiences with a two-step method for discussing goals with community-dwelling frail older people
| Autor: | Theo van Achterberg, Marcel G.M. Olde Rikkert, Marieke Perry, René J. F. Melis, Henk Schers, Maud Heinen, Sarah H. M. Robben |
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| Rok vydání: | 2015 |
| Předmět: |
Value (ethics)
Male Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1] Frail Elderly Two step Decision Making Primary care Social Theory Patient Care Planning Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Nursing Medicine Humans Aged Netherlands Older person Aged 80 and over Primary Care Nursing Social work business.industry Public Health Environmental and Occupational Health Social environment Treatment options Middle Aged Female Independent Living Older people business Original Research Papers |
| Zdroj: | Health Expectations, 18, 5, pp. 1559-66 Health Expectations, 18, 1559-66 |
| ISSN: | 1369-6513 |
| Popis: | Contains fulltext : 155291.pdf (Publisher’s version ) (Open Access) BACKGROUND: Although frail older people can be more reluctant to become involved in clinical decision making, they do want professionals to take their concerns and wishes into account. Discussing goals can help professionals to achieve this. OBJECTIVE: To describe the development of a two-step method for discussing goals with frail older people in primary care and professionals' first experiences with it. METHODS: The method consisted of (i) an open-ended question: If there is one thing we can do for you to improve your situation, what would you like? if necessary, followed by (ii) a bubble diagram with goal subject categories. We reviewed the goals elaborated with the method and surveyed professionals' (primary care nurses and social workers) experiences, using questions concerning time investment, reasons for not formulating goals, and perceived value of the method. RESULTS: One hundred and thirty-seven community-dwelling frail older people described 173 goals. These most frequently concerned mobility (n = 43; 24.9%), well-being (n = 52; 30.1%) and social context (n = 57; 32.9%). Professionals (n = 18) were generally positive about the method, as it improved their knowledge about what the frail older person valued. Not all frail older people formulated goals; reasons for this included being perfectly comfortable, not being used to discussing goals or cognitive problems limiting their ability to formulate goals. CONCLUSIONS: This two-step method for discussing goals can assist professionals in gaining insight into what a frail older person values. This can guide professionals and frail older people in choosing the most appropriate treatment option, thus increasing frail older people's involvement in decision making. |
| Databáze: | OpenAIRE |
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