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Hdl Handle:
http://hdl.handle.net/10755/579080
Category:
Full-text
Format:
Text-based Document
Type:
DNP Project
Level of Evidence:
Qualitative Study, Other
Research Approach:
Qualitative Research
Title:
End of Life Discussions in the Community
Author(s):
Houglan Adkins, Elizabeth R.
Additional Author Information:
Elizabeth R. Houglan Adkins, DNP, RN, APRN, CS; email: bhouglan at sbcglobal dot net
Advisors:
Szironey, Tracey
Degree:
DNP
Degree Year:
2015
Grantor:
University of Toledo/Wright State University
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.

Citation:
Houglan Adkins, E. R. (2015) End of life discussions in the community (Doctoral capstone project). Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/579080
Keywords:
End of Life Discussions
MeSH:
Advance Care Planning; Communication
CINAHL Headings:
Advance Care Planning
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2015-10-02T17:33:54Z
Date of Publication:
2015-10-02

Full metadata record

DC FieldValue Language
dc.contributor.advisorSzironey, Traceyen
dc.contributor.authorHouglan Adkins, Elizabeth R.en
dc.date.accessioned2015-10-02T17:33:54Zen
dc.date.available2015-10-02T17:33:54Zen
dc.date.issued2015-10-02en
dc.identifier.citationHouglan Adkins, E. R. (2015) End of life discussions in the community (Doctoral capstone project). Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/579080en
dc.identifier.urihttp://hdl.handle.net/10755/579080en
dc.description.abstract<p>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. </p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectEnd of Life Discussionsen
dc.subject.meshAdvance Care Planningen
dc.subject.meshCommunicationen
dc.titleEnd of Life Discussions in the Communityen_US
dc.typeDNP Projecten
thesis.degree.grantorUniversity of Toledo/Wright State Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.en
dc.primary-author.detailsElizabeth R. Houglan Adkins, DNP, RN, APRN, CS; email: bhouglan at sbcglobal dot neten
thesis.degree.year2015en
dc.type.categoryFull-texten
dc.evidence.levelQualitative Study, Otheren
dc.research.approachQualitative Researchen
dc.subject.cinahlAdvance Care Planningen
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