scholarly journals Advance Care Planning (PEACE) for care home residents in an acute hospital setting: impact on ongoing advance care planning and readmissions

2011 ◽  
Vol 1 (1) ◽  
pp. 99-99 ◽  
Author(s):  
N. Hayes ◽  
T. Kalsi ◽  
C. Steves ◽  
F. Martin ◽  
J. Evans ◽  
...  
2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 508-508
Author(s):  
M. Hamayoshi ◽  
S. Goto ◽  
C. Matsuoka ◽  
K. Miwa ◽  
A. Kono ◽  
...  

Author(s):  
Clare Marlow ◽  
Karen Groves ◽  
Premila Fade

This chapter outlines the challenges and opportunities surrounding advance care planning (ACP) within the hospital setting. Although the hospital environment may not seem the obvious place for future care planning, the triggers to these conversations may occur during a hospital admission. Around a third of all patients in general hospitals are likely to be in the last year of life and nearly 90% of people who die are hospitalized in the last year of life. ACP can help improve end-of-life care in hospital, with the potential to improve communication, increase quality of life and well-being of patients and those important to them, reduce use of futile and often unwanted treatments and unnecessary hospitalizations, and improve patient and family satisfaction with hospital care. Recognition that someone is in the last year of life, good communication skills, and a clear process for documentation and dissemination are key to successful ACP in hospitals.


Author(s):  
Maggie Stobbart-Rowlands ◽  
Mandy Thorn

This chapter describes the care home setting, aspects that have an impact on use of Advance care planning (ACP) in care homes, examples of challenges and best practice, use of ACP in the GSF Care Homes Training Programme, ACP with people with dementia, and culture change. Many people in care homes are in the last year/s of life, and ACP discussions are especially important for them to ensure that the care they receive is in line with what they want. Care homes lead the way in their extensive use of ACP discussions. ACP is more routinely used by care home staff than is often recognized, and can be easier to introduce in care homes than in other settings. Key challenges include poor means of communication due to dementia/cognitive impairment or physical deterioration, and how staff address the expectations of families, and ensure any interventions are in the best interests of the person.


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