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 life-prolonging 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 life-prolonging 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 - http://www.scopus.com/inward/record.url?scp=85071505651&partnerID=8YFLogxK
U2 - 10.31128/AJGP-12-18-4783
DO - 10.31128/AJGP-12-18-4783
M3 - Article
C2 - 31129945
AN - SCOPUS:85071505651
VL - 48
SP - 323
EP - 325
JO - Australian Journal of General Practice
JF - Australian Journal of General Practice
SN - 2208-794X
IS - 5
ER -