Assessing Advance Care Plan Discussions in Hospice Day Care
DOI:
https://doi.org/10.17140/PMHCOJ-3-125Keywords:
Patient-held, Wishes and preferences, Monitoring ACP activityAbstract
Background: Advance care planning (ACP) is a voluntary discussion between an individual and their care providers. The primary purpose is to identify and document a person’s wishes and preferences for future care.
Method: Within Betsi Cadwaladr University Health Board (BCUHB) an ACP document which records the process of advance care planning has been developed, piloted and approved for use within North Wales. The BCUHB ACP document can be used to structure and document ACP discussions with patients. It is a patient-held record of these discussions that with the consent of the patient may be shared if appropriate with those important to the patient and/or healthcare professionals. ACP discussion opportunities and documentation of patients’ wishes and preferences for future care have been introduced into hospice day care in North Wales.
Outcomes: This paper reports on the preliminary outcomes, lessons learnt and how they are informing the way forward with this challenging local initiative whilst contributing to the international ACP picture.
References
Health Delivering End of Life Care. 2013. Web site. www. wales.nhs.uk/document/251234/info/. Accessed August 25, 2016.
Detering K, Hancock A, Reade M, Silvester W. The impact of advance care planning on end of life care in elderly patients: A randomised controlled trial. BMJ. 2010; 340. doi: 10.1136/bmj. c1345
Seymour J, Gott M, Bellamy G, Ahmedzai S, Clark D. Plan-ning for the end of life: The views of older people about advance care statements. Soc Sci Med. 2004; 59(1): 57-68. doi: 10.1016/j. socscimed.2003.10.005
Barnes K, Jones L, TookmanA, King M.Acceptability of an ad-vance care planning interview schedule:Afocus group study. Pal-liat Med. 2007; 21(1): 23-28. doi: 10.1177/0269216306073638
Maguire P. Key communication skills and how to acquire them. BMJ. 2002; 325: 697-700. doi: 10.1136/bmj.325.7366.697
Connolly M, Duck A. Communication skills in end stage re-spiratory disease: Managing distressed patients and breaking bad news. Breathe. 2008; 5(2): 147-154
The Implications of the Mental Capacity Act (MCA) 2005 for advance care planning and decision making. In: Thomas L, Lobo B, eds. Advance Care Planning in End of Life Care. Oxford, UK: Oxford University Press; 2011.
Schickedanz A, Schillinger D, Landefeld D, Knight S, Wil-liams B, Sudore R. A clinical framework for improving the advance care planning process; Start with patients self iden-tified barriers. J Am Geriatr Soc. 2009; 57(1): 31-39. doi: 10.1111/j.1532-5415.2008.02093.x
Department of Health (United Kingdom) 2010 to 2015 Gover-nment Policy: end of life care (Updated 8 May 2015). Web site. https://www.gov.uk/government/publications/2010-to-2015-go-vernment-policy-end-of-life-care. Accessed August 25, 2016.
Samsi K, Manthorpe J. I live for today: A qualitative study in-vestigating older peoples attitudes to advance care planning. He-alth Soc Care Community. 2011; 19: 52-59. doi: 10.1111/j.1365- 2524.2010.00948.x
Silveira M, Wittala W, Piette J. Advance directive comple-tion by elderly Americans: A decade of change. J Am Geriatr Soc. 2014; 62: 706-710. doi: 10.1111/jgs.12736
Scott I, Rajakaruna N, Shah D, Miller L, Reymond E, Daly M. Normalising advance care planning in a general medicine service of a tertiary hospital: An exploratory study. Aust Health Rev. 2015; 40(4): 391-398. doi: 10.1071/AH15068.
Biondo P, Lee L, Davison S, Simon J. How healthcare sy-stems evaluate their advance care planning initiatives: Results from a systematic review. Palliat Med. 2016; 30(8): 720-729.
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
All content published in Palliative Medicine and Hospice Care (PMHC) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.