Promoting Advance Care Planning to the General Public and People Suffering from Life-Limiting Disease in Hong Kong

2.50
Hdl Handle:
http://hdl.handle.net/10755/154820
Type:
Presentation
Title:
Promoting Advance Care Planning to the General Public and People Suffering from Life-Limiting Disease in Hong Kong
Abstract:
Promoting Advance Care Planning to the General Public and People Suffering from Life-Limiting Disease in Hong Kong
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Chan, Carmen W. H., PhD
P.I. Institution Name:The Chinese University of Hong Kong
Title:Professor
Co-Authors:Sek Ying Chair PhD, Associate Professor
Caroline Y. Y. Chui PhD, PGD, MN, (Nurse, Ed), BN, RTN, RGN, RMN, Assistant Professor
Raymond S. K. Lo BMBS, Consultant
Michael M. K. Sham BMBS, Consultant
Cheuk Yin Lai MA, BSocSc, Research Assistant
[2nd International Nursing Research Conference for the World Academy of Nursing Science - Presentation] Purpose: In Hong Kong, little has been done about advance care planning (ACP) in the health care context. Patients, family members and sometimes health care professionals still refrain from discussing dying and advance directives. This inadequate communication can cause some patients to receive high-cost but unwanted medical treatments rather than their preferred comfort care prior to death.
The launching of a health promotion project in 2009 - 2011 is to promote public awareness of the benefits of advance care planning (ACP) and assess the effectiveness of intensive communication of ACP on patients? decisions of end-of-life care in Hong Kong.
Methods: Eight community roadshows were conducted to promote the philosophy and services of ACP to general public. Another 100 patients with life-limiting disease were given a 8-week intensive communication intervention as well as a set of the ACP promotional materials (pamphlet, VCD and Health Manual).  The effectiveness of the roadshows on increasing public awareness of ACP was assessed by a post-roadshow survey. The effectiveness of the 8-week intervention was evaluated by pre- and post-intervention data of the following:
l   patients? decision on modification of current invasive treatment
l   documentation of DNR (do not resuscitation) order
l   completion of living will
l   hospital readmission and length of each hospital stay.
Preliminary results: Around 4500 citizens participated in the roadshows. 85% of them have not heard of ACP prior to the roadshows and 66% of participants indicated interest to know more about ACP.  86 patients were recruited to the 8-week interventional programme.
Conclusion: The life expectancy for men and women in Hong Kong has increased to 79 & 85, respectively.  How can people live the way they prefer until they die is an important health care issue. Preliminary findings on the effectiveness of the 8-week intervention in 86 patients will be reported.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePromoting Advance Care Planning to the General Public and People Suffering from Life-Limiting Disease in Hong Kongen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154820-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Promoting Advance Care Planning to the General Public and People Suffering from Life-Limiting Disease in Hong Kong</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chan, Carmen W. H., PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Chinese University of Hong Kong</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">whchan@cuhk.edu.hk</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sek Ying Chair PhD, Associate Professor<br/>Caroline Y. Y. Chui PhD, PGD, MN, (Nurse, Ed), BN, RTN, RGN, RMN, Assistant Professor<br/>Raymond S. K. Lo BMBS, Consultant<br/>Michael M. K. Sham BMBS, Consultant<br/>Cheuk Yin Lai MA, BSocSc, Research Assistant</td></tr><tr><td colspan="2" class="item-abstract">[2nd International Nursing Research Conference for the World Academy of Nursing Science - Presentation] Purpose: In Hong Kong, little has been done about advance care planning (ACP) in the health care context. Patients, family members and sometimes health care professionals still refrain from discussing dying and advance directives. This inadequate communication can cause some patients to receive high-cost but unwanted medical treatments rather than their preferred comfort care prior to death. <br/>The launching of a health promotion project in 2009 - 2011 is to promote public awareness of the benefits of advance care planning (ACP) and assess the effectiveness of intensive communication of ACP on patients? decisions of end-of-life care in Hong Kong. <br/>Methods: Eight community roadshows were conducted to promote the philosophy and services of ACP to general public. Another 100 patients with life-limiting disease were given a 8-week intensive communication intervention as well as a set of the ACP promotional materials (pamphlet, VCD and Health Manual).&nbsp; The effectiveness of the roadshows on increasing public awareness of ACP was assessed by a post-roadshow survey. The effectiveness of the 8-week intervention was evaluated by pre- and post-intervention data of the following: <br/>l&nbsp;&nbsp; patients? decision on modification of current invasive treatment <br/>l&nbsp;&nbsp; documentation of DNR (do not resuscitation) order <br/>l&nbsp;&nbsp; completion of living will <br/>l&nbsp;&nbsp; hospital readmission and length of each hospital stay. <br/>Preliminary results: Around 4500 citizens participated in the roadshows. 85% of them have not heard of ACP prior to the roadshows and 66% of participants indicated interest to know more about ACP.&nbsp; 86 patients were recruited to the 8-week interventional programme. <br/>Conclusion: The life expectancy for men and women in Hong Kong has increased to 79 &amp; 85, respectively.&nbsp; How can people live the way they prefer until they die is an important health care issue. Preliminary findings on the effectiveness of the 8-week intervention in 86 patients will be reported.</td></tr></table>en_GB
dc.date.available2011-10-26T13:18:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:18:18Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.