Content and implementation of advance care plans: a retrospective cohort study

Research output: Contribution to journalArticleResearchpeer-review

Abstract

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.
Original languageEnglish
Pages (from-to)323-325
Number of pages3
JournalAustralian Journal of General Practice
Volume48
Issue number5
Publication statusPublished - May 2019

Cite this

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title = "Content and implementation of advance care plans: a retrospective cohort study",
abstract = "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.",
author = "Laura Panozzo and Bernadette Ward and Pam Harvey and Jason Fletcher",
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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 journalArticleResearchpeer-review

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