Rural health services’ relationships with patients: An enabler and a barrier to advance care planning

2019 ◽  
Vol 27 (6) ◽  
pp. 563-567
Author(s):  
Pamela Harvey ◽  
Laura Panozzo ◽  
Meagan‐Jane Adams ◽  
Dennis O'Connor ◽  
Bernadette Ward
Keyword(s):  
Health Services ◽  
Rural Health ◽  
Advance Care Planning ◽  
Rural Health Services ◽  
Care Planning ◽  
Advance Care

scholarly journals Evaluation of Advance Care Planning in Mental Health in Andalusian Mental Health Services

2018 ◽  
Vol 28 (suppl_4) ◽  
Author(s):  
A Suess Schwend ◽  
MI Tamayo-Velázquez ◽  
A Bono del Trigo ◽  
M Cabrera-Espinosa ◽  
V Ibáñez-Rojo ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Advance Care Planning ◽  
Care Planning ◽  
Advance Care

scholarly journals Advance Care Planning and Advance Directives Completion of Elderly Patients at a Rural Health Clinic on a Regional Medical Campus

2020 ◽  
Vol 3 (2) ◽  
Author(s):  
Sarah Irvin ◽  
Melissa McGowan ◽  
Adrienne Zavala
Keyword(s):  
Rural Health ◽  
Advance Directives ◽  
Advance Care Planning ◽  
Living Will ◽  
Health Clinic ◽  
Care Planning ◽  
Power Of Attorney ◽  
Advanced Directives ◽  
Number Of Patients ◽  
Advance Care

Advance care planning is the shared decision-making process between physicians, patients, and families regarding the patient’s preferences for end of life care. These conversations increase compliance with patient wishes, decrease hospitalizations, increase deaths in patient’s preferred location, and decrease depression in surviving family members3. Even though there is proven benefit from advance care planning, these discussions are often overlooked. The purpose of this study is to evaluate rates of advance care planning and advance directive completion rate of 245 geriatric patients at our rural health clinic training site. We searched the electronic medical record to determine the number of patients who were asked about advance directives, stated they had a living will or medical power of attorney (MPOA), and had a living will or MPOA scanned into their chart. Out of the study population, 45% of patients stated they had some form of advanced directives. Of these patients, 22% and 25% had a living will and MPOA scanned into their chart, respectively. This study demonstrates the need for detailed discussion about advanced care planning with patients and additional follow-up to ensure documentation is readily available.  

scholarly journals VA OFFICE OF RURAL HEALTH ENTERPRISE WIDE INITIATIVE—ADVANCE CARE PLANNING VIA GROUP VISITS

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 524-524
Author(s):  
K Garner ◽  
J Jensen ◽  
L Nabholz ◽  
C Husmann ◽  
D Trytek ◽  
...  
Keyword(s):  
Rural Health ◽  
Advance Care Planning ◽  
Care Planning ◽  
Group Visits ◽  
Advance Care ◽  
Health Enterprise

scholarly journals Rural health professionals‘ experiences in implementing advance care planning: a focus group study

2016 ◽  
Vol 22 (5) ◽  
pp. 423 ◽  
Author(s):  
Sophie Fletcher ◽  
Craig Sinclair ◽  
Joel Rhee ◽  
Desiree Goh ◽  
Kirsten Auret
Keyword(s):  
Rural Health ◽  
Advance Care Planning ◽  
Western Australia ◽  
Health Professionals ◽  
Care Planning ◽  
Focus Group Study ◽  
Future Health ◽  
Practice Nurses ◽  
Future Health Care ◽  
Advance Care

Advance care planning (ACP) is described as an ongoing discussion between a patient, their family and healthcare professionals (HCPs) to understand a patient’s wishes for future health care. Legislation supporting ACP in Western Australia is relatively new and HCPs are still learning about the process and implementation. This study aimed to provide a rich description of rural health professionals’ perceptions and experiences with ACP within the context of their professional role and to identify systemic issues and training needs. Ten focus groups were conducted throughout 2014 with a total of 55 rural participants including general practitioners (n=15), general practice registrars (n=6), practice nurses (n=18), community nurses (n=4) and hospital nurses (n=12) in the south-western regions of Western Australia. Thematic analysis has identified the following themes regarding ACP: benefits to patients and families; professional roles in ACP; barriers and enablers; and systems for communicating ACP. HCPs have self-determined their roles in the ACP process, which currently leaves some components of the process unaccounted for, suggesting that collaboration between HCPs working together in a rural health setting and a standardised system for distributing these documents may assist with the implementation of ACP.

Demenz aus palliativmedizinischer Perspektive: warum ein krankheitsspezifisches Advance Care Planning wichtig ist

2018 ◽  
Vol 75 (2) ◽  
pp. 105-111 ◽  
Author(s):  
Ralf J. Jox ◽  
Francesca Bosisio ◽  
Eve Rubli Truchard
Keyword(s):  
Palliative Care ◽  
Advance Care Planning ◽  
Care Planning ◽  
Advance Care ◽  
Menschen Mit Demenz

Zusammenfassung. Die Palliative Care muss sich im Zuge des demographischen Wandels vieler Gesellschaften rund um den Globus tiefgreifend wandeln. Sie muss mehr und mehr mit der Geriatrie zusammenarbeiten und geriatrische Expertise integrieren. Eine der zentralen Herausforderungen Geriatrischer Palliative Care ist die ethisch angemessene Therapieentscheidung für Menschen, die nicht mehr urteilsfähig sind. Nachdem der bisherige Ansatz herkömmlicher Patientenverfügungen erwiesenermassen enttäuscht hat, wird aktuell, gerade auch in deutschsprachigen Ländern, das systemische Konzept des Advance Care Planning (ACP) verfolgt. In diesem Artikel wird zunächst ACP mit seinen Zielen, Elementen und Effekten vorgestellt. Sodann wird gezeigt, weshalb es für Menschen mit Demenz eines adaptierten ACP-Programms bedarf und was ein solches demenzspezifisches ACP beinhalten muss.

Die Patientenverfügung «Plus» – das Konzept des Advance Care Planning (ACP)

Praxis ◽  
2017 ◽  
Vol 106 (25) ◽  
pp. 1369-1375 ◽  
Author(s):  
Barbara Loupatatzis ◽  
Tanja Krones
Keyword(s):  
Advance Care Planning ◽  
Care Planning ◽  
Advance Care

Zusammenfassung. Advance Care Planning ist ein begleiteter, strukturierter Prozess, der es Patienten und ihren Angehörigen ermöglicht, sich mit ihren Einstellungen zu Leben und Sterben sowie möglichen Behandlungen für den Fall einer Urteilsunfähigkeit mit Hilfe eines ausgebildeten Beraters auseinander zu setzen. Das Konzept kombiniert die individuelle Beratung des Patienten mit einem regionalen, systemischen Ansatz, der sicherstellt, dass alle Beteiligten die verwendeten Dokumente kennen und auch in einer Notfallsituation korrekt anwenden können. Ziel ist es, die Behandlung von urteilsunfähigen Patienten besser im Sinne ihrer Wünsche und Bedürfnisse zu koordinieren und dadurch die Patientenautonomie zu stärken.

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