End of Life Discussions in the Community
Repository Posting Date2015-10-02T17:33:54Z
Author(s)Houglan Adkins, Elizabeth R.
Level of EvidenceQualitative Study, Other
Research ApproachQualitative Research
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.