P221 Advance care planning in chronic obstructive pulmonary disease: a qualitative study of patients' views

MacPherson, A; Walshe, Catherine; O'Donnell, Valerie; Vyas, Aashish

doi:10.1136/thoraxjnl-2011-201054c.221

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2012

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“…In dementia care, finding the right time for health professionals to introduce ACP was a specific issue; this also seems to be the case in other non-cancer-related chronic illnesses, such as heart failure and chronic pulmonary disease, where prognostic uncertainty is more obvious. 29 –32…”

Section: Discussionmentioning

confidence: 99%

A qualitative study: Professionals’ experiences of advance care planning in dementia and palliative care, ‘a good idea in theory but …’

et al. 2012

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This study has identified the professional, organisational and legal factors that influence advance care planning implementation; professional training should target these specific areas. There is an urgent need for standardisation of advance care planning documentation. Greater clarity is also required on the roles and responsibilities of different professional groups. More complex aspects of advance care planning may be better carried out by those with specialist skills and experience than by generalists caring for a wide range of patient groups with different disease trajectories.

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