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Advance Care Planning in End of Life Care$
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Keri Thomas, Ben Lobo, and Karen Detering

Print publication date: 2017

Print ISBN-13: 9780198802136

Published to Oxford Scholarship Online: January 2018

DOI: 10.1093/oso/9780198802136.001.0001

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Experience of use of advance care planning in care homes

Experience of use of advance care planning in care homes

Chapter:
(p.128) Chapter 12 Experience of use of advance care planning in care homes
Source:
Advance Care Planning in End of Life Care
Author(s):

Maggie Stobbart-Rowlands

Mandy Thorn

Publisher:
Oxford University Press
DOI:10.1093/oso/9780198802136.003.0012

This chapter describes the care home setting, aspects that have an impact on use of Advance care planning (ACP) in care homes, examples of challenges and best practice, use of ACP in the GSF Care Homes Training Programme, ACP with people with dementia, and culture change. Many people in care homes are in the last year/s of life, and ACP discussions are especially important for them to ensure that the care they receive is in line with what they want. Care homes lead the way in their extensive use of ACP discussions. ACP is more routinely used by care home staff than is often recognized, and can be easier to introduce in care homes than in other settings. Key challenges include poor means of communication due to dementia/cognitive impairment or physical deterioration, and how staff address the expectations of families, and ensure any interventions are in the best interests of the person.

Keywords:   end-of-life care, preferences, care home, dementia, advance care planning, communication

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