Advance care planning in nursing homes: new conversation and documentation tools. Issue 3 (23rd June 2021)

• Record Type: Journal Article
• Authors: Wendrich-van Dael, Annelien; Gilissen, Joni; Van Humbeeck, Liesbeth; Deliens, Luc; Vander Stichele, Robert; Gastmans, Chris; Pivodic, Lara; Van den Block, Lieve
• Is Part Of: BMJ supportive & palliative care. Volume 11:Issue 3(2021)
• Page Start: 312
• Page End: 317
• Publication Date: 2021-06-23
• Subjects: communication -- education and training -- nursing Home care; Palliative treatment -- Periodicals; Terminal care -- Periodicals; 616.029
• DOI: 10.1136/bmjspcare-2021-003008
• Languages: English
• ISSNs: 2045-435X

Abstract

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.