Author:

Keywords:

Science & Technology, Life Sciences & Biomedicine, Health Care Sciences & Services, communication, education and training, nursing Home care, COMMUNICATION, DEFINITION, EFFICACY, Advance Care Planning, Communication, Documentation, Health Personnel, Humans, Nursing Homes, 1110 Nursing, 1117 Public Health and Health Services, 4203 Health services and systems, 4205 Nursing

Abstract:

Although advance care planning (ACP) is highly relevant for nursing home residents, its uptake in nursing homes is low. To meet the need for context-specific ACP tools to support nursing home staff in conducting ACP conversations, we developed the ACP+intervention. At its core, we designed three ACP tools to aid care staff in discussing and documenting nursing home resident's wishes and preferences for future treatment and care: (1) an extensive ACP conversation guide, (2) a one-page conversation tool and (3) an ACP document to record outcomes of conversations. These nursing home-specific ACP tools aim to avoid a purely document-driven or 'tick-box' approach to the ACP process and to involve residents, including those living with dementia according to their capacity, their families and healthcare professionals.