دورية أكاديمية

Feasibility of Advance Care Planning in Primary Care for Homeless Adults

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