Advanced care planning in health service users

Leuven, Karen A. Van

doi:10.1111/j.1365-2702.2012.04190.x

Cited by 4 publications

(7 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Advance care planning discussions should include a discussion of values, religion, goals of care, and an opportunity for the individual to express concerns (Blackford et al, 2007). Advance care planning discussions should also include what types of treatment the individual desires, ranging from feeding tubes, mechanical ventilation, CPR, dialysis, hospitalization, or antibiotic therapy (Van Leuven, 2012;Jones et al, 2011;Jeong et al, 2009;Blackford et al, 2007). It is beneficial to include in the ACP discussion professionals from various disciplines to offer advice in their specific area of expertise to better guide the ACP decisions.…”

Section: Quality Of Lifementioning

confidence: 99%

“…These individuals have an increased life expectancy for many reasons including advances in healthcare and increased responsibility for self care (Van Leuven, 2012; Administration on Aging, 2011; U.S. DHHS, 2008). Additionally, 63% of individuals 65 years of age and older report receiving the influenza vaccine, 59% report receiving the pneumococcal vaccine and around 30% report engaging in regular physical activity (AoA, 2011).…”

Section: Review Of Literaturementioning

confidence: 99%

“…Long term care facilities can provide appropriate care by promoting all aspects of QoL including emotional and physical health care, increased functional abilities, providing comfort, security, a familiar environment, social interaction, religious consideration, respect, dignity and the ability to make decisions for care. (Van Leuven, 2012;Chrash et al, 2011;Joint Commission, 2009). Advance directives are the documents that pre-state an individual's wishes for care in the event he or she is unable to express his or her wishes.…”

Section: Quality Of Lifementioning

confidence: 99%

“…Over the last 70 years the life expectancy for Americans has increased from an average of 60 years to nearly 79 years (U.S. Social Security Administration, 2013). This increased life expectancy can be attributed to the advent of antibiotics, medical technologies, Cardio-Pulmonary Resuscitation (CPR), mechanical ventilation, improved disease management, public health initiatives, and improved sanitation standards (Van Leuven, 2012; U.S Department of Health and Human Services, 2008). As Americans grow older, many are challenged with an increased chronic disease burden (Van Leuven, 2012;U.S DHHS, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…This increased life expectancy can be attributed to the advent of antibiotics, medical technologies, Cardio-Pulmonary Resuscitation (CPR), mechanical ventilation, improved disease management, public health initiatives, and improved sanitation standards (Van Leuven, 2012; U.S Department of Health and Human Services, 2008). As Americans grow older, many are challenged with an increased chronic disease burden (Van Leuven, 2012;U.S DHHS, 2008). An increased chronic disease burden and continued normal aging changes can result in decreased functional ability and independence.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

A Retrospective Study Describing Documentation of Advance Care Planning in a Long Term Care Setting

Linder¹

2013

View full text Add to dashboard Cite

Problem: Increased life expectancy and aging baby boomers will increase the population of those 65 years of age and older to nearly 20% of the United States population by 2030.It is estimated that 40-70% of this population will need long term care during their lifetime, and by 2020, 40% of patients in long term care will die there. As patients age, advance care planning (ACP) and advance directives (AD) should be completed to make their wishes known to healthcare providers and family. Despite legal requirements for completion at entry to healthcare settings, less than 95% of hospitalized patients and 50%of long term care patients have an AD or ACP.Significance: Advance care planning increases patients' quality of life, may decrease stress and ease decision making at end of life for patients and families. There is little research on the completion levels of ACP in long term care. Purpose:The primary purpose of this retrospective study is to describe the level of ACP documentation in a long term care setting. A secondary purpose is to describe potential relationships between demographic, past medical history (PMH) and ACP variables Design: Retrospective descriptive chart reviewResults: More than 76% of patients at the facility were over the age of 65. Less than 43% of patients had an AD listed in their chart, and less than 31% of patients had an AD completed prior to admission at the long term care facility. At admission to the facility, only 7 of 29 (12.7%) patients that came from the hospital had an AD or ACP documented. Seven patients at the facility were listed as Hospice patients, and only three of seven (42.8%) had ACP documented. Only 33% of patients had an ACP meeting at the facility listed in their chart. Of ACP meetings that occurred, there was a high level of patient and family involvement in end of life decision making. A correlation was found iii between Alzheimer's disease and ACP completion, as well as Medicaid insurance and ACP completion.

show abstract

Section: Quality Of Lifementioning

confidence: 99%

Section: Review Of Literaturementioning

confidence: 99%

Section: Quality Of Lifementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Retrospective Study Describing Documentation of Advance Care Planning in a Long Term Care Setting

Linder¹

2013

View full text Add to dashboard Cite

show abstract

A Contemporary Paradigm: Integrating Spirituality in Advance Care Planning

2017

View full text Add to dashboard Cite

In the 25 years since advance care planning first drew the attention of the national healthcare and legal systems, gains in the rate of advance care directive completion have been negligible despite the effort of researchers, ethicists, and lawmakers. With the benefit of sophisticated healthcare technology, patients are living longer. Despite the benefits of increased longevity, it is widely acknowledged that enough has not been done to adequately address end-of-life care decisions at the crossroads between medical futility and quality of life. To arrive at a solution, researchers have focused on patient self-reflection, provider attitudes, health literacy, communication and the logistics of surrogacy, setting, payment, and documentation. However, a survey of the literature reveals one conspicuously absent theme. It is a phenomenon one would expect in the context of end-of-life discussion and decision making, that of spiritual inquiry. This article explores the history leading up and past approaches to advance care planning and then suggests the use of a theoretical model and a body of work concerning spiritual care as a new tack in the ongoing development of advance care planning.

show abstract

An integrative review of stakeholder views on Advance Care Directives (ACD): Barriers and facilitators to initiation, documentation, storage, and implementation

Hemsley

Meredith

Bryant

et al. 2019

Patient Education and Counseling

View full text Add to dashboard Cite

Advanced care planning in health service users

Abstract: Given the rapidity with which populations are ageing in countries worldwide, ADs would appear to be a phenomenon that should be embraced. However, experience in the USA has called into question their usefulness.

Cited by 4 publications

References 22 publications

A Retrospective Study Describing Documentation of Advance Care Planning in a Long Term Care Setting

A Retrospective Study Describing Documentation of Advance Care Planning in a Long Term Care Setting

A Contemporary Paradigm: Integrating Spirituality in Advance Care Planning

An integrative review of stakeholder views on Advance Care Directives (ACD): Barriers and facilitators to initiation, documentation, storage, and implementation

Contact Info

Product

Resources

About