Understanding The Use Of Medicare Procedure Codes For Advance Care Planning: A National Qualitative Study

2022 ◽  
Vol 41 (1) ◽  
pp. 112-119
Author(s):  
Keren Ladin ◽  
Olivia C. Bronzi ◽  
Priscilla K. Gazarian ◽  
Julia M. Perugini ◽  
Thalia Porteny ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Advance Care Planning ◽  
Care Planning ◽  
Advance Care ◽  
Procedure Codes

scholarly journals How Do General Practitioners Conceptualise Advance Care Planning in Their Practice? A Qualitative Study

PLoS ONE ◽  
2016 ◽  
Vol 11 (4) ◽  
pp. e0153747 ◽  
Author(s):  
Aline De Vleminck ◽  
Koen Pardon ◽  
Kim Beernaert ◽  
Dirk Houttekier ◽  
Robert Vander Stichele ◽  
...  
Keyword(s):  
Qualitative Study ◽  
General Practitioners ◽  
Advance Care Planning ◽  
Care Planning ◽  
Advance Care

scholarly journals Barriers to advance care planning: a qualitative study of seriously ill Chinese patients and their families

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Johnny T. K. Cheung ◽  
Doreen Au ◽  
Anthony H. F. Ip ◽  
Jenny Chan ◽  
Kenway Ng ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Advance Care Planning ◽  
Chinese Patients ◽  
Care Planning ◽  
Advance Care ◽  
Seriously Ill

scholarly journals ‘You can’t start a car when there’s no petrol left’: a qualitative study of patient, family and clinician perspectives on implantable cardioverter defibrillator deactivation

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e048024
Author(s):  
Holly Standing ◽  
Richard G Thomson ◽  
Darren Flynn ◽  
Julian Hughes ◽  
Kerry Joyce ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Implantable Cardioverter Defibrillator ◽  
Advance Care Planning ◽  
Trigger Points ◽  
Current Status ◽  
Comparative Approach ◽  
Care Planning ◽  
Patient Journey ◽  
Cardioverter Defibrillator ◽  
Advance Care

ObjectiveTo explore the attitudes towards implantable cardioverter defibrillator (ICD) deactivation and initiation of deactivation discussions among patients, relatives and clinicians.DesignA multiphase qualitative study consisting of in situ hospital ICD clinic observations, and semistructured interviews of clinicians, patients and relatives. Data were analysed using a constant comparative approach.SettingOne tertiary and two district general hospitals in England.ParticipantsWe completed 38 observations of hospital consultations prior to ICD implantation, and 80 interviews with patients, family members and clinicians between 2013 and 2015. Patients were recruited from preimplantation to postdeactivation. Clinicians included cardiologists, cardiac physiologists, heart failure nurses and palliative care professionals.ResultsFour key themes were identified from the data: the current status of deactivation discussions; patients’ perceptions of deactivation; who should take responsibility for deactivation discussions and decisions; and timing of deactivation discussions. We found that although patients and doctors recognised the importance of advance care planning, including ICD deactivation at an early stage in the patient journey, this was often not reflected in practice. The most appropriate clinician to take the lead was thought to be dependent on the context, but could include any appropriately trained member of the healthcare team. It was suggested that deactivation should be raised preimplantation and regularly reviewed. Identification of trigger points postimplantation for deactivation discussions may help ensure that these are timely and inappropriate shocks are avoided.ConclusionsThere is a need for early, ongoing and evolving discussion between ICD recipients and clinicians regarding the eventual need for ICD deactivation. The most appropriate clinician to instigate deactivation discussions is likely to vary between patients and models of care. Reminders at key trigger points, and routine discussion of deactivation at implantation and during advance care planning could prevent distressing experiences for both the patient and their family at the end of life.

scholarly journals A qualitative study of health care professionals’ views and experiences of paediatric advance care planning

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Barbara A. Jack ◽  
Tracy K. Mitchell ◽  
Mary R. O’Brien ◽  
Sergio A. Silverio ◽  
Katherine Knighting
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Advance Care Planning ◽  
Health Care Professionals ◽  
Care Planning ◽  
Advance Care

scholarly journals Is hospitalisation for COPD an opportunity for advance care planning? A qualitative study

2012 ◽  
Vol 21 (3) ◽  
pp. 261-266 ◽  
Author(s):  
David Seamark ◽  
Susan Blake ◽  
Clare Seamark ◽  
Michael E Hyland ◽  
Colin Greaves ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Advance Care Planning ◽  
Care Planning ◽  
Advance Care
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