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Advance care planning in care homes for older people : an English perspective.

Froggatt, Katherine and Vaughan, S. and Bernard, C. and Wild, D. (2009) Advance care planning in care homes for older people : an English perspective. Palliative Medicine, 23 (4). pp. 332-338. ISSN 1477-030X

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Abstract

Advance care planning (ACP) as a process of discussing and recording wishes for future care and treatment is increasingly being promoted and discussed in the UK, reflecting recent changes in legislation. This study describes current ACP practice in care homes for older people drawing on data from a questionnaire survey (n = 213) of, and interviews (n = 15) with, care home managers. Whilst consultation about general care is taking place in the majority of homes surveyed using both formal and informal processes, the number of residents that have completed any ACP processes varies. Managers face intrinsic and extrinsic challenges related to the ascertaining of, and the implementing of wishes as they address ACP in the care home context. Until these wider contextual factors are addressed it will be difficult for staff in care homes to effectively undertake and implement ACP in care homes.

Item Type: Article
Journal or Publication Title: Palliative Medicine
Uncontrolled Keywords: advance care planning • advance directives • nursing homes • long-term
Subjects: R Medicine > R Medicine (General)
Departments:
ID Code: 31969
Deposited By: Mr Richard Ingham
Deposited On: 01 Mar 2010 10:59
Refereed?: Yes
Published?: Published
Last Modified: 23 Jul 2014 14:51
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/31969

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