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Outcomes That Define Successful Advance Care Planning: A Delphi Panel Consensus
Rebecca L Sudore1, Daren K Heyland2, Hillary D Lum3
1Division of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA; Veteran Affairs Medical Center, San Francisco, California, USA.
Experts established a framework for successful advance care planning (ACP), prioritizing care aligned with patient goals and surrogate involvement. Further research is needed for reliable measurement of these key ACP outcomes.
Area of Science:
- Medical Ethics
- Health Services Research
- Gerontology
Background:
- Standardized metrics for successful advance care planning (ACP) are currently lacking.
- This study aimed to develop a consensus-based framework and prioritize ACP outcomes.
- Patient-centered outcomes are crucial for evaluating the effectiveness of ACP initiatives.
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Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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