Tuesday, 23 December 2014

‘We DECide – Discussing End-of-life Choices’: how to realize advance care planning for nursing home residents with dementia?

Sophie Ampe
KU Leuven, LUCAS, Centre for care research and consultancy

Advance care planning (ACP) is the communication process of preparing care choices for when persons no longer have decision-making capacity. In this respect, it is of utmost importance for nursing home residents with dementia. However, ACP is mostly not realized for this group. Advance care planning consists of discussing care choices and making decisions, and corresponds to shared decision making: the involvement of persons and their families in care and treatment decisions.

Our paper describes the implementation and evaluation of ‘we DECIDE’, an educational intervention for nursing home staff on shared decision making in the context of advance care planning for residents with dementia. ‘We DECide’ is expected to result in a higher realization of shared decision making in individual conversations on advance care planning. A better implementation of advance care planning will lead to a higher quality of end-of-life care and more person-centred care. The study findings will support policy makers, on the one hand, to implement advance care planning in practice and professional caregivers, on the other hand, to conduct conversations about advance care planning.

‘We DECide’ could eventually be integrated in continuing education programs to teach shared decision making skills in the context of advance care planning.


Sophie Ampe, MSc, PhD candidate
KU Leuven, LUCAS, Centre for care research and consultancy
E-mail: sophie.ampe@med.kuleuven.be


Reference

Ampe S., Sevenants A., Coppens E., Spruytte N., Smets T., Declercq A. & van Audenhove C. (2014) Study protocol for ‘we DECide’: implementation of advance care planning for nursing home residents with dementia. Journal of Advanced Nursing. doi: 10.1111/jan.12601


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