Related Experiment Video
Updated: Jul 12, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
[Advance care planning: how can we do better in geriatrics?]
Thomas Fassier1,2, Catherine Bollondi Pauly3, Marie-Laure Carballo-Ehrler4
1Service de médecine interne de l'âgé, Département de réadaptation et gériatrie, Hôpitaux universitaires de Genève, Hôpital des Trois-Chêne, 1226 Thônex.
Revue Medicale Suisse
|November 1, 2023
Summary
This study outlines a successful integration of advance care planning (ACP) into electronic medical records at Geneva University Hospitals. It highlights key strategies for improving goals of care discussions with older adults and their families.
Area of Science:
- Geriatric Medicine
- Healthcare Management
- Bioethics
Context:
- Advance care planning (ACP) is crucial for aligning medical care with patient values, especially for older adults.
- Integrating ACP into clinical practice presents ethical, quality of care, and public health challenges.
- Effective documentation and professional training are vital for successful ACP implementation.
Purpose:
- To describe the integration of advance care planning (ACP) within the Geneva University Hospitals, focusing on the geriatrics and rehabilitation department.
- To detail improvements in the electronic medical record (EMR) documentation of goals of care.
- To explain the training of healthcare professionals and public dissemination strategies for ACP.
Summary:
- The Geneva University Hospitals implemented a comprehensive ACP program, enhancing EMR documentation for goals of care discussions.
- Healthcare professionals received targeted training, and information was disseminated to patients and the public.
- The initiative addressed ethical, patient safety, and public health dimensions of ACP.
Impact:
- Provides a model for healthcare institutions seeking to implement or improve ACP programs.
- Identifies critical success factors and potential barriers for widespread ACP adoption in Switzerland.
- Aims to improve communication and shared decision-making in end-of-life care for older populations.
Related Concept Videos
01:21Planning Nursing Care I
4.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.5K
01:19Standards of Care II
658
Nurses bear specific legal responsibilities under several federal statutes, including:
658
01:29Documentation in Long-Term and Home Healthcare Setting
897
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
897
01:29Planning Nursing Care II
2.7K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
2.7K
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.2K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.2K
01:13Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K