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Published on: February 12, 2017
Advance care planning for patients with inoperable lung cancer
Gillian Horne1, Jane Seymour, Karen Shepherd
1Doncaster and Bassetlaw Hospitals NHS Foundation Trust, Armthorpe Road, Doncaster. Gillian.horne@dbh.nhs.uk
Aim:
To develop and pilot an advance care planning (ACP) intervention for lung cancer nurses to use in discussing end-of-life preferences and choices for care with patients diagnosed with inoperable lung cancer.
Design:
A prospective qualitative design with semistructured individual patient interviews. A grounded theory approach was used for the analysis.
Sample:
Fifteen patients took part in ACP discussions with their nurse and nine agreed to be interviewed by a researcher about their perceptions of the intervention.
Results:
Patients' reactions to the ACP process varied, but they welcomed the recording of their wishes and appreciated the courage of the nurses in bringing up the subject of future care.
Conclusion:
This study explored the role of ACP as a method of enabling patient choice for lung cancer patients in the UK. Further research is needed to determine the components of ACP and the training needs of staff.
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