Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 323-325 |
| Number of pages | 3 |
| Journal | Australian Journal of General Practice |
| Volume | 48 |
| Issue number | 5 |
| Publication status | Published - May 2019 |
Cite this
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Content and implementation of advance care plans : a retrospective cohort study. / Panozzo, Laura; Ward, Bernadette; Harvey, Pam; Fletcher, Jason.
In: Australian Journal of General Practice, Vol. 48, No. 5, 05.2019, p. 323-325.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Content and implementation of advance care plans
T2 - a retrospective cohort study
AU - Panozzo, Laura
AU - Ward, Bernadette
AU - Harvey, Pam
AU - Fletcher, Jason
PY - 2019/5
Y1 - 2019/5
N2 - Background and objectives: The development of advance care plans (Plans) in general practice can be time consuming. End-of-life care should reflect an individual's documented preferences. The aim of this study was to examine the content and implementation of Plans in hospital during end-of-life care. Methods: A retrospective cohort study of the hospital medical records of decedents aged >=75 years was performed to assess Plan content and implementation. Results: Of the 536 decedents, 52 had a Plan. There were 17 cases where lifeprolonging treatment was given and contradicted preferences listed in the Plan. This included instances of intubation, surgery and curative medication. Discussion: General practice staff investment in advance care planning should be reflected in the utilisation of Plans and, where medically indicated, respect for patients' preferences.
AB - Background and objectives: The development of advance care plans (Plans) in general practice can be time consuming. End-of-life care should reflect an individual's documented preferences. The aim of this study was to examine the content and implementation of Plans in hospital during end-of-life care. Methods: A retrospective cohort study of the hospital medical records of decedents aged >=75 years was performed to assess Plan content and implementation. Results: Of the 536 decedents, 52 had a Plan. There were 17 cases where lifeprolonging treatment was given and contradicted preferences listed in the Plan. This included instances of intubation, surgery and curative medication. Discussion: General practice staff investment in advance care planning should be reflected in the utilisation of Plans and, where medically indicated, respect for patients' preferences.
UR - https://search-informit-com-au.ezproxy.lib.monash.edu.au/documentSummary;dn=363199580581421;res=IELHEA
M3 - Article
VL - 48
SP - 323
EP - 325
JO - Australian Journal of General Practice
JF - Australian Journal of General Practice
SN - 2208-7958
IS - 5
ER -