التفاصيل البيبلوغرافية
العنوان: |
Feasibility of Advance Care Planning in Primary Care for Homeless Adults |
المؤلفون: |
Kaplan-Weisman, Laura, Sansone, Sara, Walter, Eve, Crump, Casey |
المصدر: |
Journal of Aging and Health ; volume 32, issue 7-8, page 880-891 ; ISSN 0898-2643 1552-6887 |
بيانات النشر: |
SAGE Publications |
سنة النشر: |
2019 |
مصطلحات موضوعية: |
Geriatrics and Gerontology, Community and Home Care, Gerontology |
الوصف: |
Objectives: As the homeless population ages, it is imperative to improve access to advance care planning (ACP) and document preferences in case medical decision-making capacity is lost. Methods: We implemented an ACP Project to discuss and document advance care plans with all patients aged 45 and older who received primary care at our adult Homeless Program clinics. Results: Over 14 months, ACP was discussed with 48% ( n = 138) of the population and health care proxy (HCP) appointment with 91% ( n = 125) of these patients. Most (62%; n = 77) appointed a HCP from personal relationships, though a significant minority (38%; n = 48) could not and were considered “surrogateless.” End-of-life preferences varied. Approximately 20% of patients wanted to defer to a surrogate for each decision. Discussion: ACP is feasible in primary care for adults who have experienced homelessness and should be incorporated into routine care. |
نوع الوثيقة: |
article in journal/newspaper |
اللغة: |
English |
DOI: |
10.1177/0898264319862420 |
الإتاحة: |
https://doi.org/10.1177/0898264319862420Test |
حقوق: |
http://journals.sagepub.com/page/policies/text-and-data-mining-licenseTest |
رقم الانضمام: |
edsbas.66B398CE |
قاعدة البيانات: |
BASE |