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Advance care planning for older people in Australia presenting to the emergency department from the community or residential aged care facilities
Author(s)Maryann Street, Goetz Ottmann, Megan-Jane Johnstone
Journal titleHealth and Social Care in the Community, vol 23, no 5, September 2015
PublisherWiley Blackwell, September 2015
Pagespp 513-522
Sourcewileyonlinelibrary.com/journals/hsc
KeywordsAdvance directives ; Living in the community ; Care homes ; Accident & emergency depts ; Admission [hospitals] ; Comparison ; Cross sectional surveys ; Australia.
AnnotationThe purpose of this retrospective, cross-sectional study was to determine the prevalence of advance care planning (ACP) among older people presenting to an Emergency Department (ED) from the community or a residential aged care facility. The study sample comprised 300 older people (aged 65+ years) presenting to three Victorian EDs in 2011. A total of 150 patients transferred from residential aged care to ED were randomly selected and then matched to 150 people who lived in the community and attended the ED by age, gender, reason for ED attendance and triage category on arrival. Results showed that older people from the community transferred to ED were unlikely to have a documented Advance Care Plan. Those from residential aged care who were cognitively impaired more frequently had an Advance Care Plan. In the ED, decisions of care did not appear to be influenced by the presence or absence of Advance Care Plans, but length of hospital admission was shorter for those with an Advance Care Plan. (RH).
Accession NumberCPA-150904504 A
ClassmarkCXB: K4: KW: LD6: LD:QKH: 48: 3KB: 7YA

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