End of life discussions in the community
View File(s)
- Author(s)
- Details
-
Elizabeth R. Houglan Adkins, DNP, RN, APRN, CS
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Adkins, Elizabeth R. Houglan by View
Title | Page Views |
---|
Popular Works for Adkins, Elizabeth R. Houglan by Download
Title | Downloads |
---|
View Citations
Citations
Advance Care Planning (ACP) is a process of review and discussion between patients, family members, and healthcare providers that focus on goals of care rather than specific treatments. ACP should be initiated and implemented by the health care provider well before the patient is terminally ill or develops diminishing cognitive abilities. The PICOT question of this project is “ In community dwelling residents age 50 or older, with a chronic medical condition, does having an ACP discussion with a healthcare provider increase the likelihood that a patient/surrogate decision maker will be comfortable stating his/her ACP wishes and filling out an Advance Directive (AD) ?” The Stetler Model was used to guide implementation of the project. The Gunderson Lutheran “Respecting Choices Patient Centered Advance Care Planning (PC-ACP) was used to guide the discussion. Thirty (30) patients were recruited from senior community buildings owned or managed by National Church Residences (NCR), and given the Health Care Directive form pre and post intervention to review changes in their decision making. This Project will promote open discussions with patients, family members, and healthcare providers about patient wishes and preferences, hopefully before the patient is gravely ill.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | Faculty Approved: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Qualitative Study, Other |
Research Approach | Qualitative Research |
Keywords | End of Life Discussions |
CINAHL Subject(s) | Advance Care Planning; Communication |
Grantor | The University of Toledo; Wright State University |
Advisor | Szironey, Tracey |
Level | DNP |
Year | 2015 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Effects of advance care planning intervention on end-of-life decision making
Kim, Minju; Lee, JieunThe purpose of this study was to systematically review reports of published randomized controlled trials to ascertain the effectiveness of an advance care planning intervention. -
Improving the use of advance care planning in assisted living facilities
King, JohnPaulEnsuring patients receive care in the fashion they so choose at the end of life should be considered and addressed upon any admission process. The project site noted many unnecessary, repeated emergency room (ER) visits ... -
Preparing for the final journey: Advance care planning and end-of-life care from a global nursing perspective
Xu, Xinyi (Sigma Theta Tau International, 2021-11-30)Limited decision-making capacity in end-of-life patients affects their abilities to express their preferences in medical decisions. Advance care planning (ACP) is a process of communication that enables individuals to ... -
Challenges in advanced care planning in primary care: A systematic review
Willson, Pamela; Gondran, Sue EllenThe greatest obstacle to Advance Care Planning (ACP) is initiating the difficult conversation about death and planning for the end that is culturally sensitive and patient-centered. Poor end-of-life communication skills, ... -
The Factors Associated With Advance Care Planning Among People With Mild Cognitive Impairment
Huang, Hsiu-LiPeople with mild cognitive impairment have lower awareness of symptoms and treatment regarding end-stage dementia. They also are insufficient awareness of existing ACP and advance directives. This presentation will provide ...