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Implementation of a Dementia-Specific Advance Care Planning Tool at a Program for All-Inclusive Care for the Elderly
Purpose:
To determine if implementation of a dementia-specific advance care planning (ACP) tool increased knowledge of dementia and decision maker confidence and decreased inappropriate health care utilization rates.
Method:
At a Program for All-Inclusive Care for the Elderly, individuals with a cognitive deficit (CD) and their surrogate decision makers (SDMs) were recruited as dyads in an ACP pilot program using a dementia-specific ACP tool. Knowledge was assessed for both dyad members and confidence regarding their role was assessed for SDMs, repeated at 3 months.
Results:
Individuals with CD showed no increase in dementia knowledge scores; however, SDMs showed improvement in knowledge and confidence. Health care utilization rates decreased by five visits.
Conclusion:
Findings suggest that the terminality of dementia may be misunderstood. Timely implementation of a dementia-specific ACP may resolve ambiguity, allowing for discussion regarding care preferences. [Journal of Gerontological Nursing, 51(7), 43-48.].
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