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Developing a care pathway for advance decisions and powers of attorney
 — qualitative study
Author(s)Jonathan I Bisson, Victoria Hampton, Anne Rosser
Journal titleBritish Journal of Psychiatry, vol 194, no 1, January 2009
Pagespp 55-61
Sourcehttp://bjp.rcpsych.org
KeywordsCognitive impairment ; Mental disorder ; Court of protection ; Rights [elderly] ; Management [care] ; Qualitative Studies.
AnnotationThe Mental Capacity Act 2005 applies to England and Wales, and empowers individuals to plan ahead for when they may lack capacity. This qualitative study uses Huntington's disease an as example to develop a care pathway for advance decisions and powers of attorney. In-depth individual interviews were conducted with service users and carers, and focus groups with professionals. Inductive qualitative analysis was used to develop themes to construct a care pathway that was then piloted and further evaluated to achieve a final pathway. A care pathway was developed that incorporated an early introduction through a formal education session and a minimum of two sessions separated by at least two weeks before advance decision completion. Optimal delivery of the intervention requires significant clinical and administrative commitment. A simple and easy-to-use care pathway acceptable to both users and carers has been developed. (RH).
Accession NumberCPA-090305205 A
ClassmarkE4: E: JVC: IKR: QA: 3DP

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