Hops Train the trainer Facilitators Help from researchers Tool Let me
Hops Train the trainer Facilitators Help from researchers Tool Let me Speak Education Semistructured interview guide Intervention study, months.followup Mixed approaches Chart critique Survey of overall health care personnel Qualitative interview of bereaved relatives (results not reported) Better palliative approach Fewer hospital deaths Staff comfy with addressing ACPissuesChan HY, Hong KongCompetent NH sufferers intervention handle Nonrandomized controlled feasibility study, months.followup Quantitative strategies Questionnaire based survey Only families integrated Stability of treatment preference More preference stated Relieved existential anxietydistress Time consuming Unclear effect in incompetent peoplewith dementia older peoplePage ofFlo et al.BMC HMPL-013 price Geriatrics Table Clinical intervention studies (Continued)Morrison RS, Social workers NY City, USA, ( controlintervention) LTC residents PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21331346 handle intervention Tool Structured ACP discussion with patient relatives at admission, year changes in clinical status Education Counselling of NH social workers Educationtraining Termsdefinitions, roleplay, supervision Sensible instruction Workshops Controlled clinical trial, months.followup Mixed techniques Minimum data set at admission Interview of Social workers Overview of medical records Greater documentation of EOLC preferences ACP discussions Much better concordance amongst patient wishes offered therapy Higher focus on decision capacity proxy relative Straightforward intervention of forms, group meetings, feedback to clinicians by social workers improves likelihood of residents preferences being elicited Couple of social workers Lack of documentation Brief adhere to up Legislation restricting surrogate selection making on behalf persons with reduced choice capacityACP advance care strategy(ning), EOLC finish of life care, GSFCH gold standards framework for care homes, LCP liverpool care pathway, MEPOA healthcare enduring energy of attorney, QoLAD, GHQ, DNR, ACPPage ofFlo et al.BMC Geriatrics Table ACP tools having a chartbased concentrate, or Advance directive as most important goalAuthor Population Interventiontooleducationaim with the study Comparison Techniques Outcome measures Outcomethemesresults Promoters BarriersHickman SE, Oregon, Wisconsin West Virginia, USA NHs Tool Living deceased POLST residents with a valid POLST Crosssectional observational study Treatment for patients with Quantitative techniques a completed POLST mostly Retrospective chart review consistent with stated wishes More than adherence in terms of resuscitation, hospitalization antibiotics, .in terms of feeding tubes Intervention study months.followup Mixed approach Observation analyses of field notes. Semistructured interviews with staff prepost intervention Recording of medication modifications, use of emergency calls transmission to hospitalStandardized medical orders that transfer with them all through the healthcare systemSankaran S, NH hospital nurses Aukland, New Zealand Mental status not provided Multicomponent help wmain elements medication evaluation, tel.hotline, advance nursing support POACChronic Care Management programme ACP Education Understanding course Weekly inhouse education Practical training Facilitators Tool “Let Me Decide” Education Understanding course Education of loved ones residents staff about dementia, ACP, alternatives to hospitalisation Facilitators Not specified No ACP were completed Hotline All nurses but no physicians Educa.
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