Interdisciplinary Team Care of Seriously Ill Hospitalized Patients

Gross, Dawn; Hawgood, Jane

doi:10.1002/9781118772607.ch18

Cited by 1 publication

(2 citation statements)

References 9 publications

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“…Given their roles on interdisciplinary teams, social workers are uniquely qualified to provide psychoeducation to assist seriously ill patients and their families with ACP. 44,49 Additionally, they may have more time with patients than other members of the team to address psychosocial concerns associated with ACP and EOL care transitions. 50 Using the social work process of engaging a patient first, social workers can develop a relationship and spend more time with a patient who may be ambivalent to discuss a difficult topic.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of Motivational Interviewing to Enhance Advance Directive Completion in Latinos With Chronic Illness: A Randomized Controlled Trial

Nedjat-Haiem

Cadet

Amatya

et al. 2019

Am J Hosp Palliat Care

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Background: End-of-life (EOL) care for Latinos with chronic illness is a critically important problem. Latinos with chronic illness suffer worse health outcomes and poorer quality of care due to various issues occurring in care delivery systems. Latinos are less likely than non-Hispanic whites to prepare an advance directive (AD) for health-care decision-making that impacts treatment decisions for when EOL is near. Advance care planning (ACP) interventions tailored specifically for Latinos have rarely been implemented. Objective: The primary aim examines whether a motivational interviewing (MI) intervention increased rates of AD documentation among older Latinos. The secondary aim was to examine whether MI improved communication with providers and family members. Methods: We pilot tested a randomized controlled trial with older Latinos >50 years with one or more chronic illnesses, including cancer. Participants were randomly assigned to usual care (UC) receiving ACP education alone versus treatment (TX), which received ACP education, plus MI counseling including interactive decisional support, emotional support, and barrier navigation. Results: Results of logistic regression indicate TX group participants were significantly more likely to document an AD than UC, however were less ready to talk with health-care providers or family members. Those reporting navigational barriers for talking about dying is difficult showed a significant negative relationship for AD completion even with significant intervention effects. Conclusion: When using MI to motivate individuals toward ACP EOL conversations other factors are important to consider. Further research is needed, especially among Latinos to understand best practices for ACP education and counseling for EOL care.

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Section: Discussionmentioning

confidence: 99%

“…Questions about ACP need to be specifically integrated into assessment tools for all members of the team. 49 In this way, patients can hear about ACP from various providers giving the message that it is “normal” among professionals to talk about death and dying, to address individualized decision-making and plans for the future.…”

Section: Discussionmentioning

confidence: 99%