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Advance care planning discussions with geriatric patients
1Medisinsk avdeling Sørlandet sykehus Kristiansand.
Summary
Advance care planning discussions were positively received by geriatric patients. Most patients desired transparency and family involvement in medical decisions, highlighting the importance of these conversations.
Area of Science:
- Geriatric Medicine
- Palliative Care
- Bioethics
Background:
- Advance care planning (ACP) discussions are crucial for respecting patient autonomy when decision-making capacity declines.
- Physicians often express concerns that ACP discussions may cause patient distress.
Purpose of the Study:
- To evaluate the feasibility and patient acceptance of systematic ACP discussions on an acute geriatric ward.
- To understand patient perspectives on information disclosure and family involvement during ACP.
Main Methods:
- Patients admitted to an acute geriatric ward were assessed for their capacity to engage in ACP discussions.
- An internationally validated tool guided conversations with consenting patients.
Main Results:
- Of 96 assessed patients, 58 participated in ACP discussions.
- The majority (54/58) desired full information transparency.
- Most participants (47/58) wanted family involvement in decisions, while 11 preferred no family participation.
- All patients desired physician involvement in critical decisions.
Conclusions:
- Geriatric patients overwhelmingly viewed ACP discussions positively.
- Patients conveyed significant preferences regarding information, family involvement, and end-of-life treatment intensity.
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