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Published on: February 16, 2011
Advance care planning in nursing homes: new conversation and documentation tools
Annelien Wendrich-van Dael1,2, Joni Gilissen3,2,4, Liesbeth Van Humbeeck5
1End-of-Life Care Research Group, Vrije Universiteit Brussel, Brussels, Belgium Annelien.van.Dael@vub.be.
Abstract:
Although advance care planning (ACP) is highly relevant for nursing home residents, its uptake in nursing homes is low. To meet the need for context-specific ACP tools to support nursing home staff in conducting ACP conversations, we developed the ACP+intervention. At its core, we designed three ACP tools to aid care staff in discussing and documenting nursing home resident's wishes and preferences for future treatment and care: (1) an extensive ACP conversation guide, (2) a one-page conversation tool and (3) an ACP document to record outcomes of conversations. These nursing home-specific ACP tools aim to avoid a purely document-driven or 'tick-box' approach to the ACP process and to involve residents, including those living with dementia according to their capacity, their families and healthcare professionals.
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