A Review of Advance Care Planning Programs in Long-Term Care Homes: Are They Dementia Friendly?

Background. Persons living with dementia in the long-term care home (LTCH) setting have a number of unique needs, including those related to planning for their futures. It is therefore important to understand the advance care planning (ACP) programs that have been developed and their impact in order...

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Bibliographic Details
Published in:Nursing Research and Practice 2014-01, Vol.2014 (2014), p.340-350
Main Authors: McAiney, Carrie, Ploeg, Jenny, Kaasalainen, Sharon, Wickson-Griffiths, Abigail
Format: Article
Language:English
Subjects:
Advance care planning
Advance directives
Care and treatment
Clinical decision making
Cognitive ability
Decision making
Dementia
Documentation
Elder care
Long term care
Long term health care
Medical prognosis
Methods
Nursing care
Nursing homes
Older people
Palliative care
Review
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Summary:Background. Persons living with dementia in the long-term care home (LTCH) setting have a number of unique needs, including those related to planning for their futures. It is therefore important to understand the advance care planning (ACP) programs that have been developed and their impact in order for LTCH settings to select a program that best suits residents’ needs. Methods. Four electronic databases were searched from 1990 to 2013, for studies that evaluated the impact of advance care planning programs implemented in the LTCH setting. Studies were critically reviewed according to rigour, impact, and the consideration of the values of residents with dementia and their family members according to the Dementia Policy Lens Toolkit. Results and Conclusion. Six ACP programs were included in the review, five of which could be considered more “dementia friendly.” The programs indicated a variety of positive impacts in the planning and provision of end-of-life care for residents and their family members, most notably, increased ACP discussion and documentation. In moving forward, it will be important to evaluate the incorporation of residents with dementia’s values when designing or implementing ACP interventions in the LTCH settings.
ISSN:2090-1429
2090-1437
DOI:10.1155/2014/875897