Healthcare‐providers experiences with Advance Care Planning and Goals of Patient Care medical treatment orders in Residential Aged Care Facilities; an explanatory descriptive study.

2021 ◽  
Author(s):  
Ruth S Martin ◽  
Barbara J Hayes ◽  
Anastasia Hutchinson ◽  
Paul Yates ◽  
Wen Kwang Lim
Keyword(s):  
Advance Care Planning ◽  
Healthcare Providers ◽  
Descriptive Study ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Planning ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Advance Care

Advance care planning in residential aged care facilities

2007 ◽  
Vol 27 (1) ◽  
pp. 141-151 ◽  
Author(s):  
Jeanine Blackford ◽  
Elizabeth Strickland ◽  
Bridget Morris
Keyword(s):  
Advance Care Planning ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Planning ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Advance Care

scholarly journals Quality of advance care planning policy and practice in residential aged care facilities in Australia

2012 ◽  
Vol 3 (3) ◽  
pp. 349-357 ◽  
Author(s):  
William Silvester ◽  
Rachael S Fullam ◽  
Ruth A Parslow ◽  
Virginia J Lewis ◽  
Rebekah Sjanta ◽  
...  
Keyword(s):  
Aged Care ◽  
Residential Aged Care ◽  
Care Planning ◽  
Policy And Practice ◽  
Planning Policy ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Advance Care

scholarly journals Inadequate completion of advance care directives by individuals with dementia: national audit of health and aged care facilities

2021 ◽  
pp. bmjspcare-2020-002767
Author(s):  
Jamie Bryant ◽  
Marcus Sellars ◽  
Craig Sinclair ◽  
Karen Detering ◽  
Kimberly Buck ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Aged Care ◽  
Care Plan ◽  
Residential Aged Care ◽  
Multinomial Regression ◽  
People With Dementia ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Advance Care Directives ◽  
Advance Care

Objectives(i) Describe the prevalence and type of advance care directives (ACDs) and other advance care planning (ACP) documentation completed by persons with dementia, healthcare providers and others on behalf of a person with dementia; (ii) identify the personal and ACP programme characteristics associated with having ACP documentation in the health record; (iii) identify the personal and ACP programme characteristics associated with having a self-completed ACD.MethodsA multicentre audit was undertaken in Australian hospitals, general practices and residential aged care facilities. Auditors extracted demographic and ACP data from the records of eligible patients. ACP programme characteristics were provided by a site representative. Logistic and multinomial regression were used respectively to examine the factors associated with completion of any ACP documentation, and self-completion of an ACD by persons with dementia.ResultsA total of 1388 people with dementia (33.2%) from 96 sites were included. Overall, 60.8% (n=844) had ACP documentation; 31.6% (n=438) had a self-completed ACD and 29.3% (n=406) had an ACP document completed by a health professional or someone else on their behalf. Older participants were more likely to have ACP documented. Multivariate analyses indicated the odds of having self-completed ACP documents, compared with no advance care plan or ACP completed by someone else, were significantly influenced by age, country of birth, setting and whether the site had ACP training, policies or guidelines.DiscussionWhile 60% of people with dementia had some form of ACP documentation, only half of the cases in which ACP was documented included an ACD completed by the person themselves.

Enhancing palliative care in rural Australia: the residential aged care setting

2011 ◽  
Vol 17 (1) ◽  
pp. 95 ◽  
Author(s):  
Geoffrey Mitchell ◽  
Caroline Nicholson ◽  
Keith McDonald ◽  
Anne Bucetti
Keyword(s):  
Palliative Care ◽  
End Of Life Care ◽  
Aged Care ◽  
Care Staff ◽  
Residential Aged Care ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Advance Care

The delivery of palliative care in residential aged care communities is challenging, even more so in rural areas due to workforce ageing and shortages. The objectives of the present study were to: (i) assess the needs of, and quality of palliative care delivered to residents of 16 residential aged care facilities in rural southern Australia; and (ii) identify the needs of care staff to facilitate the delivery of quality palliative care. A cross-sectional survey of all residents, assessing the degree of functional limitation, stage of palliative care, and the presence of several quality indicators was conducted. Separate focus groups of care staff and relatives of residents sought information on the quality of care delivered, perceived strengths and weaknesses of the care delivered, and education and training needs. Quality palliative care in residential aged care facilities (RACFs) is hampered by workforce shortages, with low ratios of registered nurses, limited access to general practitioners after hours, and some communication difficulties. Some staff reported low confidence in technical and psychosocial aspects of care, especially for relatives. Relatives described mostly appropriate care, while acknowledging workload constraints. Most residents whose condition was unstable, deteriorating or terminal received advance care planning, though family expectations and unwillingness to discuss end-of-life care did tend to delay planning. Unstable residents with a reasonable prognosis were more likely to be transferred to hospital than terminally ill residents. Palliative care in participating RACFs appears to be adequate. Provision of targeted education for health care providers and implementation of protocols for advance care planning and end-of life care pathways will enhance this care.

Advance care planning in aged care facilities

2013 ◽  
Vol 32 (4) ◽  
pp. 202-203 ◽  
Author(s):  
Gideon A Caplan ◽  
Anne E Meller
Keyword(s):  
Advance Care Planning ◽  
Aged Care ◽  
Care Planning ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Advance Care
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