Participation in future planning by community‐dwelling older Australians receiving aged care services: Findings from a cross‐sectional survey. (14th March 2021)

• Record Type: Journal Article
• Authors: Bryant, Jamie; Hobden, Breanne; Waller, Amy; Clapham, Matthew; Sanson‐Fisher, Robert
• Is Part Of: Australasian journal on ageing. Volume 40:Number 4(2021)
• Page Start: 373
• Page End: 380
• Publication Date: 2021-03-14
• Subjects: advance care planning -- advance directives -- frailty -- frail older adults; Older people -- Periodicals; Older people -- Australia -- Periodicals; Old age -- Periodicals; Geriatrics -- Periodicals; Gerontology -- Pacific Area -- Periodicals; 618.97
• DOI: 10.1111/ajag.12927
• Languages: English
• ISSNs: 1440-6381

Abstract

Abstract: Objectives: To determine in a sample of older community‐dwelling adults: (1) the proportion who have engaged in medical and financial planning; (2) the factors associated with advance care directive (ACD) completion and substitute decision maker (SDM) appointment; and (3) for those without an ACD, what might prompt completion. Methods: A cross‐sectional survey was undertaken with individuals receiving community aged care services in metropolitan and regional communities. Data collection was conducted by case managers during a home visit. Results: Overall, 158 individuals ( M = 78 years, SD = 8.7) participated (53.5% consent rate). Financial planning participation (will = 85%; enduring power of attorney = 66%) was higher than medical planning participation (SDM: 54%; ACD: 30%). No health status factors were significantly associated with ACD completion or SDM appointment. Diagnosis of a life‐limiting illness was most likely to prompt ACD completion (77.6%). Conclusions: One third of older people residing in the community have completed an ACD. Strategies to improve uptake in this vulnerable population require further exploration.