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Updated: Apr 17, 2026

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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
10.9K
Advance care planning in a community setting.
Josaleen Connolly1, Stuart Milligan, Elaine Stevens
1Clinical Improvement Unit, NHS Ayrshire and Arran.
Summary
Advance care planning (ACP) training improved professionals' ability to implement the process and document patient wishes. This led to patients achieving preferred end-of-life care and increased consultation regarding hospitalization.
Area of Science:
- Palliative Care
- Healthcare Management
Background:
- Advance care planning (ACP) is crucial for ensuring patient-centered end-of-life care.
- Implementing ACP processes requires effective training for healthcare professionals.
Purpose of the Study:
- To evaluate the impact of an implemented advance care planning process in North Ayrshire pilot sites.
- To assess the effectiveness of ACP training for professionals caring for patients with palliative needs.
Main Methods:
- Data collection via questionnaires from ACP training participants.
- Semi-structured interviews with stakeholders.
- Audit of relevant documentation.
Main Results:
- High participant rating (96%) of improved understanding of ACP post-training.
- General consensus on the value of advance care planning.
- Reported patient success in achieving preferred end-of-life care and increased consultation on hospitalization.
Conclusions:
- ACP training enhanced professionals' capacity to implement ACP.
- Training improved the documentation of patient and resident wishes.
- The pilot demonstrated a positive effect on patient-centered care delivery.
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