Characteristics of Advance Care Planning Interventions Across Dementia Stages: A Systematic Review

2021 ◽  
Author(s):  
Hyejin Kim ◽  
Jeonghyun Cho ◽  
Won Seok Park ◽  
Sang Suk Kim
Keyword(s):  
Systematic Review ◽  
Advance Care Planning ◽  
Care Planning ◽  
Advance Care

scholarly journals Preconditions for successful advance care planning in nursing homes: A systematic review

2017 ◽  
Vol 66 ◽  
pp. 47-59 ◽  
Author(s):  
Joni Gilissen ◽  
Lara Pivodic ◽  
Tinne Smets ◽  
Chris Gastmans ◽  
Robert Vander Stichele ◽  
...  
Keyword(s):  
Systematic Review ◽  
Nursing Homes ◽  
Advance Care Planning ◽  
Care Planning ◽  
Advance Care

O-77 Effects of advance care planning in patients with cancer. results from a systematic review

2015 ◽  
Vol 5 (Suppl 2) ◽  
pp. A24.3-A24
Author(s):  
Jan Schildmann ◽  
C Bausewein ◽  
Tanja Krones ◽  
A Simon ◽  
ST Simon ◽  
...  
Keyword(s):  
Systematic Review ◽  
Advance Care Planning ◽  
Care Planning ◽  
Patients With Cancer ◽  
Advance Care

13 Exploring patient safety incidents arising from advance care planning for end of life patients: a mixed methods analysis of incident reports

2018 ◽  
Vol 8 (3) ◽  
pp. 364.2-365 ◽  
Author(s):  
Toby Dinnen ◽  
Huw Williams ◽  
Simon Noble ◽  
Adrian Edwards ◽  
Joyce Kenkre ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
End Of Life ◽  
Advance Care Planning ◽  
End Of Life Care ◽  
Care Planning ◽  
Life Care ◽  
Advance Care ◽  
Incident Reports ◽  
Patient Safety Incidents

IntroductionAdvance Care Planning (ACP) is an important component of patient centred end-of-life care (Houben et al. 2014; Brinkman-Stoppelenburg et al. 2014). However there is little evidence available on the safety of the process and its impact on quality of care.AimTo characterise the nature of patient safety incidents arising around the ACP process for patients approaching end-of-life.MethodThe National Reporting and Learning System (NRLS) collates patient safety incident reports across England and Wales. We performed a keyword search and manual review to identify relevant reports between 2005 and 2015. A mixed methods process combining structured data coding and exploratory descriptive analysis was undertaken to describe incidents underlying causes and outcomes. A thematic analysis identified areas on which to focus improvement initiatives.ResultsWe identified 67 incident reports in which patients experienced inadequate care due to issues with implementation of ACP. The most common source of error was (mis)communication of ACP (n=27) where documentation was lost or verbal handover was inaccurate. Over one third of reports (n=24) described an ACP not being followed. In the remaining reports (n=16) an ACP was not completed despite being appropriate. The most common contributory factor was inadequate staff knowledge (n=18). Common outcomes were cardiopulmonary resuscitation attempts contrary to a patient’s wishes (n=18). Other outcomes included inappropriate treatment or transfer/admission.ConclusionOur national level analysis identifies key priorities which should be explored in local contexts: specifically improving public and staff understanding and engagement with ACP and developing systems for recording and accessing ACP documentation across healthcare services.References. Brinkman-Stoppelenburg A, Rietjens JA, Van Der Heide A. The effects of advance care planning on end-of-life care: A systematic review. Palliative Medicine2014;28:1000–25.. Houben CH, Spruit MA, Groenen MT, Wouters EF, Janssen DJ. Efficacy of advance care planning: A systematic review and meta-analysis. Journal of the American Medical Directors Association2014;15:477–89.

scholarly journals OP59 Complex interventions guiding advance care planning conversations: a systematic review

2019 ◽  
Author(s):  
J Fahner ◽  
A Beunders ◽  
J van Delden ◽  
A Van der Heide ◽  
M Vanderschuren ◽  
...  
Keyword(s):  
Systematic Review ◽  
Advance Care Planning ◽  
Complex Interventions ◽  
Care Planning ◽  
Advance Care

Toward Culturally Tailored Advance Care Planning for the Chinese Diaspora: An Integrative Systematic Review

2020 ◽  
Vol 23 (12) ◽  
pp. 1662-1677
Author(s):  
Zhimeng Jia ◽  
Richard E. Leiter ◽  
Irene M. Yeh ◽  
James A. Tulsky ◽  
Justin J. Sanders
Keyword(s):  
Systematic Review ◽  
Advance Care Planning ◽  
Chinese Diaspora ◽  
Care Planning ◽  
Culturally Tailored ◽  
Advance Care

Advance care planning in different settings for people with dementia: A systematic review and narrative synthesis

2019 ◽  
Vol 17 (6) ◽  
pp. 707-719 ◽  
Author(s):  
Adele J. Kelly ◽  
Tim Luckett ◽  
Josephine M. Clayton ◽  
Liam Gabb ◽  
Slavica Kochovska ◽  
...  
Keyword(s):  
Systematic Review ◽  
Advance Care Planning ◽  
Future Research ◽  
Care Planning ◽  
People With Dementia ◽  
Future Care ◽  
Advance Care ◽  
Surrogate Decision ◽  
The Individual ◽  
Person With Dementia

AbstractBackgroundAdvance care planning (ACP) is identified as being an important process for people with dementia. However, its efficacy for improving outcomes relevant for the individual, carers and the health system has yet to be established.AimWe conducted a systematic review with the aims of testing the efficacy of ACP for people with dementia and describing the settings and population in which it has been evaluated.MethodsA search was completed of electronic databases in August 2016. Articles were included if they described interventions aimed at increasing planning for future care of people with dementia, delivered to the person with dementia, their carers and/or health professionals.ResultsOf 4,772 articles returned by searches, 30 met the inclusion criteria, testing interventions in nursing home (n= 16) community (n = 10) and acute care (n = 4) settings. Only 18 interventions directly involved the person with dementia, with the remainder focusing on surrogate decision-makers. In all settings, interventions were found effective in increasing ACP practice. In nursing homes, ACP was found to influence care and increase the concordance between end of life wishes and care provided. Interventions in the community were found to improve patient quality of life but were not shown to influence concordance.ConclusionFuture research should focus on ways to involve people with dementia in decision-making through supported means.

Advance care planning in motor neuron disease: A systematic review

2015 ◽  
Vol 14 (4) ◽  
pp. 411-432 ◽  
Author(s):  
Leigh Murray ◽  
Phyllis N. Butow
Keyword(s):  
Systematic Review ◽  
Motor Neuron ◽  
Motor Neuron Disease ◽  
Advance Care Planning ◽  
Data Extraction ◽  
Decision Aids ◽  
Care Planning ◽  
Healthcare Outcomes ◽  
Future Care ◽  
Advance Care

AbstractObjective:Motor neuron disease (MND) is an incurable progressive illness, characterized by incessant deterioration of neuromuscular function. Timely commencement of advance care planning (ACP) may enable patients to participate in future care choices. The present systematic review aimed to summarize what is known about the prevalence, content, patient/caregiver benefits, healthcare professional (HCP) awareness/support, and healthcare outcomes associated with ACP in the MND setting.Method:Quantitative and qualitative studies were identified through database searches and eligibility assessed by one author and verified by her coauthor. Data extraction and quality assessments against standardized criteria were completed by the two authors.Results:Of the 422 studies identified, 16 were included. The research methods generally lacked rigor. Advance directive (AD) prevalence varied considerably across studies. Disease progression was the strongest predictor of AD completion. ACP processes may clarify patients' wishes and promote communication. HCP attitudes or lack of awareness may limit ACP processes. Varying patient preferences may make flexible approaches and timing necessary.Significance of results:Important benefits may be associated with ACP in the context of a motor neuron disease (e.g., feelings of control/relief and refusal of unwanted treatments). However, further evidence is required to verify findings and identify optimal streamlined approaches (e.g., use of decision aids) consistent with patients' (and caregivers') needs over time.

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