Advance care planning

Jattan, Aaron

doi:10.46747/cfp.6705345

Cited by 4 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The importance of ACP and ongoing communication between older persons, their families and healthcare professionals is progressively becoming recognised (Sellars et al 2015;Amjad et al 2014;Baughman et al 2014;in der Schmitten et al 2014;Stone et al 2013;Storey and Sherwen 2013) especially in Australia (Bird 2014). However, evidence persists that initiating ACP discussions with residents of RACFs remains difficult for staff (Boot and Wilson 2014;Dempsey 2014;Schubart et al 2014;Robinson et al 2013;Stone et al 2013).…”

Section: Literature Reviewmentioning

confidence: 99%

The role of advance care planning in end-of-life care for residents of aged care facilities

Waird,

Crisp

2016

Aust J Adv Nurs

View full text Add to dashboard Cite

Objective: This report will present the case of an elderly woman with rapidly declining health admitted to hospital from a nursing home. It will discuss benefits of advance care planning for residents of aged care facilities who have expressed opinions/wishes regarding their end-of-life care, and identify barriers, varying legal status, the need for documentation of discussion outcomes specifying residents’ wishes, and the importance of education and expert support for nursing staff. Setting: Nursing home and acute tertiary referral hospital. Subject: Female resident of a nursing home, aged 97 years, with acute onset of abdominal pain and multiple co-morbidities. Primary Argument: The majority of nursing home residents do not have advance care planning initiated, nor is this routinely raised by nursing staff. While wishes may be discussed with family, they may not be fully respected if undocumented. Acutely ill residents are frequently hospitalised, especially when death is imminent, and often die alone in unfamiliar surroundings, tended by strangers. Many of these admissions could be avoided with Advance Care Planning, as could the resultant medical interventions which may cause the resident acute pain and discomfort. Conclusion: Advance Care Planning can lead to avoidance of non-essential hospital transfers and their inherent risks and is likely to facilitate a dignified, peaceful death in familiar surroundings for nursing home residents, averting medical interventions which may cause needless pain and prolonged suffering.

show abstract

Section: Literature Reviewmentioning

confidence: 99%

The role of advance care planning in end-of-life care for residents of aged care facilities

Waird,

Crisp

2016

Aust J Adv Nurs

View full text Add to dashboard Cite

show abstract

“…The literature sheds light on the opportunities to incorporate health educators and coaches to strengthen PA promotion in clinical settings 11. Sports and exercise specialists, including sports and exercise physicians and allied health teams, can contribute their expertise to promote PA in clinical settings 12 13. Another approach is PA referral schemes, established in several countries to connect patients with PA professionals or exercise specialists 14.…”

Section: Introductionmentioning

confidence: 99%

“… 11 Sports and exercise specialists, including sports and exercise physicians and allied health teams, can contribute their expertise to promote PA in clinical settings. 12 13 Another approach is PA referral schemes, established in several countries to connect patients with PA professionals or exercise specialists. 14 However, each country has different characteristics and roles of the health system and sports and exercise specialists.…”

Section: Introductionmentioning

confidence: 99%

Physical Activity with Sports Scientist (PASS) programme to promote physical activity among patients with non-communicable diseases: a pragmatic randomised controlled trial protocol

Wattanapisit,

Hemarachatanon,

Somrak

et al. 2024

BMJ Open Sport Exerc Med

View full text Add to dashboard Cite

Physical activity (PA) effectively prevents and treats non-communicable diseases in clinical settings. PA promotion needs to be more consistent, especially in busy primary care. Sports scientists have the potential to support PA promotion in primary care. The Physical Activity with Sports Scientist (PASS) programme is created to personalise PA promotion led by a sports scientist in a primary care clinic. A pragmatic randomised controlled trial with two parallel groups will be conducted at a family medicine clinic. Physically inactive participants aged 35–70 years who have type 2 diabetes mellitus, hypertension or dyslipidaemia will be invited. The control group (n=60) will receive usual care. The intervention group (n=60) will receive the PASS programme and usual care. The PASS programme will consist of a tailored PA prescription after the physician’s consultation at the first visit and monthly phone follow-ups. The primary outcome is the proportion of participants who have achieved the PA goal defined as aerobic activity (≥150 min/week of moderate to vigorous-intensity PA), muscle-strengthening activity (≥2 days/week of moderate or greater intensity) and multicomponent PA (≥2 days/week of moderate or greater intensity). Secondary outcomes are body composition and physical fitness. The primary and secondary outcomes will be measured and compared between the control and intervention groups at visit 1 (month 0: baseline measurements), visit 2 (months 3–4: follow-up measurements), visit 3 (months 6–8: end-point measurements) and visit 4 (months 9–12: continuing measurements). The study protocol was registered with the Thai Clinical Trials Registry.Trial registration number: TCTR20240314001.

show abstract

Section: Introductionmentioning

confidence: 99%

“…2 ACP has a more immediate relevance for those with life-limiting conditions and offers structure for the consideration and communication of care preferences to loved ones and caregivers. 3 Teixeira and colleagues 6 reported on the general experience of Canadians (aged 18 to >65 years) with ACP. Consistent with the findings above, they found that few Canadians (16%) knew the term 'Advance Care Planning', and slightly over half (52%) of respondents had engaged in any discussions with family or friends about healthcare treatment preferences in the event that they became too ill or injured to speak for themselves; only 10% had ACP discussions with healthcare professionals.…”

Section: Introductionmentioning

confidence: 99%

Advance care planning among older Canadians amid the COVID-19 pandemic: a focus on sexual orientation

et al. 2021

View full text Add to dashboard Cite

Objectives: The COVID-19 pandemic has led to death and hardship around the world, and increased popular discourse about end-of-life circumstances and conditions. The extent to which this discourse and related pandemic experiences have precipitated advance care planning (ACP) activities was the focus of this study with a particular emphasis on sexual orientation. Methods: A large, national online survey was conducted between 10 August and 10 October 2020 in Canada. The final sample of 3923 persons aged 55 and older was recruited using social media, direct email, and Facebook advertising and in conjunction with community groups. Women comprised almost 78% of the sample; just more than 7% of the sample identified as lesbian, gay, and bisexual (LGB). Measures included demographic variables and a series of questions on ACP, including documents and discussions undertaken prior to the pandemic and since its onset. Results: Descriptive analyses revealed few gender or sexual orientation differences on documents and discussions prior to the pandemic; since its onset, LGB persons have completed or initiated wills, powers of attorney, advance directives, representation agreements, and have engaged in ACP discussions in greater proportion than heterosexuals. Logistic regressions reveal the increased likelihood of pre-pandemic ACP engagement by age, gender (women), and education; since the pandemic onset, gender, education, and sexual orientation were predictive of greater ACP engagement. Care discussions were more likely undertaken by women and LGB persons since the pandemic most often with spouses, family, and friends, especially among LGB persons. Discussion: Gender roles and previous pandemic experiences (HIV/AIDS, in particular) are implicated in this pattern of results; opportunities for educational interventions are considered.

show abstract

Advance care planning

Cited by 4 publications

References 0 publications

The role of advance care planning in end-of-life care for residents of aged care facilities

The role of advance care planning in end-of-life care for residents of aged care facilities

Physical Activity with Sports Scientist (PASS) programme to promote physical activity among patients with non-communicable diseases: a pragmatic randomised controlled trial protocol

Advance care planning among older Canadians amid the COVID-19 pandemic: a focus on sexual orientation

Contact Info

Product

Resources

About