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Analysis of Advance Directive Documentation to Support Palliative Care Activities in Nursing Homes.
- Source :
-
Health & Social Work . Nov2016, Vol. 41 Issue 4, p228-234. 7p. - Publication Year :
- 2016
-
Abstract
- As part of an intervention to improve health care in nursing homes with the goal of reducing potentially avoidable hospital admissions, 1,877 resident records were reviewed for advance directive (AD) documentation. At the initial phases of the intervention, 50 percent of the records contained an AD. Of the ADs in the resident records, 55 percent designated a durable power of attorney for health care, most often a child (62 percent), other relative (14 percent), or spouse (13 percent). Financial power of attorney documents were sometimes found within the AD, even though these documents focused on financial decision making rather than health care decision making. Code status was the most prevalent health preference documented in the record at 97 percent of the records reviewed. The intervention used these initial findings and the philosophical framework of respect for autonomy to develop education programs and services on advance care planning. The role of the social worker within an interdisciplinary team is discussed. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CONTENT analysis
*DO-not-resuscitate orders
*DOCUMENTATION
*HOSPITAL care
*RESEARCH methodology
*NURSING care facilities
*PALLIATIVE treatment
*POWER of attorney
*QUALITY assurance
*RESEARCH funding
*ADVANCE directives (Medical care)
*SECONDARY analysis
*LIVING wills
*RETROSPECTIVE studies
*PATIENT autonomy
Subjects
Details
- Language :
- English
- ISSN :
- 03607283
- Volume :
- 41
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Health & Social Work
- Publication Type :
- Academic Journal
- Accession number :
- 118951175
- Full Text :
- https://doi.org/10.1093/hsw/hlw042