Abstract

Advance Care Planning (ACP) is a process of review and discussion between patients, family members, and healthcare providers that focus on goals of care rather than specific treatments. ACP should be initiated and implemented by the health care provider well before the patient is terminally ill or develops diminishing cognitive abilities. The PICOT question of this project is "In community dwelling residents age 50 or older, with a chronic medical condition, does having an ACP discussion with a healthcare provider increase the likelihood that a patient/surrogate decision maker will be comfortable stating his/her ACP wishes and filling out an Advance Directive (AD)?" The Stetler Model was used to guide implementation of the project. The Gunderson Lutheran "Respecting Choices Patient Centered Advance Care Planning (PC-ACP)" was used to guide the discussion. Thirty (30) patients were recruited from senior community buildings owned or managed by National Church Residences (NCR), and given the Health Care Directive form pre and post intervention to review changes in their decision making. This Project will promote open discussions with patients, family members, and healthcare providers about patient wishes and preferences, hopefully before the patient is gravely ill.

Author Details

Elizabeth R. Houglan Adkins, DNP, RN, APRN, CS

Sigma Membership

Unknown

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Qualitative Study, Other

Research Approach

Qualitative Research

Keywords:

End of Life Discussions, Advanced Care Planning, Terminally Ill Patients

Advisor

Tracey Szironey

Degree

DNP

Degree Grantor

The University of Toledo, Wright State University

Degree Year

2015

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2015-10-02

Full Text of Presentation

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