Content and implementation of advance care plans: A retrospective cohort study
Journal
Australian journal of general practice
ISSN: 2208-7958
Titre abrégé: Aust J Gen Pract
Pays: Australia
ID NLM: 101718099
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
entrez:
28
5
2019
pubmed:
28
5
2019
medline:
17
6
2020
Statut:
ppublish
Résumé
The development of advance care plans (Plans) in general practice can be time consuming. End-of-life care should reflect an individual’s documented preferences. The aim of this study was to examine the content and
implementation of Plans in hospital during end-of-life care. A retrospective cohort study of the hospital medical records of decedents aged ≥75 years was performed to
assess Plan content and implementation. Of the 536 decedents, 52 had a Plan. There were 17 cases where life-prolonging treatment was given and
contradicted preferences listed in the Plan. This included instances of intubation, surgery and curative medication. General practice staff investment in advance care planning should be reflected in the utilisation of Plans and,
where medically indicated, respect for patients’ preferences.
Sections du résumé
BACKGROUND AND OBJECTIVES
The development of advance care plans (Plans) in general practice can be time consuming. End-of-life care should reflect an individual’s documented preferences. The aim of this study was to examine the content and
implementation of Plans in hospital during end-of-life care.
METHODS
A retrospective cohort study of the hospital medical records of decedents aged ≥75 years was performed to
assess Plan content and implementation.
RESULTS
Of the 536 decedents, 52 had a Plan. There were 17 cases where life-prolonging treatment was given and
contradicted preferences listed in the Plan. This included instances of intubation, surgery and curative medication.
DISCUSSION
General practice staff investment in advance care planning should be reflected in the utilisation of Plans and,
where medically indicated, respect for patients’ preferences.
Identifiants
pubmed: 31129945
doi: 10.31128/AJGP-12-18-4783
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM