Doctors should discuss advance care planning with dying patients and those with chronic illness, RCP says

BMJ ◽  
2009 ◽  
Vol 338 (feb24 1) ◽  
pp. b803-b803 ◽  
Author(s):  
C. Dyer
Keyword(s):  
Chronic Illness ◽  
Advance Care Planning ◽  
Care Planning ◽  
Dying Patients ◽  
Advance Care

scholarly journals Current Engagement in Advance Care Planning in Japan and Its Associated Factors

2019 ◽  
Vol 5 ◽  
pp. 233372141989269 ◽  
Author(s):  
Megumi Inoue ◽  
Kyoko Hanari ◽  
Jun Hamano ◽  
Joshua Gallagher ◽  
Nanako Tamiya
Keyword(s):  
End Of Life ◽  
Advance Care Planning ◽  
Health Care Professionals ◽  
Associated Factors ◽  
Current Status ◽  
Care Planning ◽  
Multinomial Regression ◽  
Practice Experience ◽  
Dying Patients ◽  
Advance Care

Using the Ministry of Health, Labour and Welfare national data on perspectives toward medical care at the end of life, this study examined the current status of engagement in advance care planning (ACP) activities among physicians and nurses in Japan and associated factors. Only 28.7% of physicians and 27.6% of nurses answered that they were engaging their patients/clients in ACP. Multinomial regression analysis revealed that more frequent involvement in caring for dying patients was associated with ACP engagement for both physicians and nurses. Increased years of clinical practice experience and working in a hospital were associated with decreased likelihood of nurses’ ACP engagement. Completion of training designed to promote patient self-determination at the end of life was associated with both physicians’ and nurses’ ACP engagement. It is recommended that health care professionals be encouraged to complete such training to promote patients’ autonomy through ACP.

scholarly journals Predictors of Advance Care Planning Documentation in Patients With Underlying Chronic Illness Who Died of Traumatic Injury

2019 ◽  
Vol 58 (5) ◽  
pp. 857-863.e1 ◽  
Author(s):  
Justin Kim ◽  
Ruth A. Engelberg ◽  
Lois Downey ◽  
Robert Y. Lee ◽  
Elisabeth Powelson ◽  
...  
Keyword(s):  
Chronic Illness ◽  
Advance Care Planning ◽  
Traumatic Injury ◽  
Care Planning ◽  
Advance Care

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.

Sign in / Sign up

Export Citation Format

Share Document