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Advanced care planning in homes for older people
 — a qualitative study of the views of care staff and families
Author(s)F Stewart, C Goddard, R Schiff, S Hall
Journal titleAge and Ageing, vol 40, no 3, May 2011
Pagespp 330-335
Sourcehttp://ageing.oxfordjournals.org/ http://www.bgs.org.uk/
KeywordsCare homes ; Residents [care homes] ; Management [care] ; Planning [admin] ; Personnel ; The Family ; Attitude.
AnnotationThe purpose of the study, which was based in two London boroughs, was to explore the views of care home staff and the families of older residents on advance care planning (ACP). Individual semi-structured interviews were conducted throughout. Generally, staff and families revealed positive opinions towards advance care planning. In particular staff felt it provided choice for residents and encouraged better planning. On the other hand staff and families perceived residents as reluctant to discuss ACP. Some care assistants were reluctant to be involved. Furthermore, families and staff reported prevalence of dementia among residents as another barrier. Nurses and care managers identified both family involvement and unforeseen medical circumstances as problematic. However overall, the authors conclude that staff and families support the concept of ACP. Methods to overcome the identified barriers are required to embed ACP within end of life care in care homes. (JL).
Accession NumberCPA-110621004 A
ClassmarkKW: KX: QA: QA6: QM: SJ: DP

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