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Centre for Policy on Ageing | |
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Exploring influences on community-based case managers' advance care planning practices
— facilitators or barriers? | | Author(s) | Kathy Black, Janice Fauske |
| Journal title | Home Health Care Services Quarterly, vol 26, nos 2, 2007 |
| Pages | pp 41-58 |
| Source | http://www.tandfonline.com |
| Keywords | Terminal care ; Case work ; Management [care] ; Qualitative Studies ; United States of America. |
| Annotation | Community-based geriatric case managers work with an increasingly frail older population in need of advance care planning throughout the end of life. This qualitative study used four focus groups to explore 27 case managers' perceptions of facilitators and barriers to advance care planning practices. Themes from this study suggest that case managers view five key influences that appear to either assist or impede practices, depending on case managers' perceptions and experiences. Themes include: paradox of case management and programmatic realities; extent of family preference and involvement; level of proficiency in advance care planning; degree of client receptivity or planning; and limited communication with providers. The findings suggest that case managers vary in their advance care planning practices by differing perceptions regarding clients, families, professional expertise, programme effects, and communication within the network of providers. More research is needed to clarify the factors associated with case managers' divergent advance care planning practices in order to enhance professional practice in this area. (RH). |
| Accession Number | CPA-070618203 A |
| Classmark | LV: IGA: QA: 3DP: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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