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Availability of Advance Care Planning Documentation for Older Emergency Department Patients: A Cross-Sectional Study.
- Source :
-
Journal of Palliative Medicine . Jan2017, Vol. 20 Issue 1, p74-78. 5p. - Publication Year :
- 2017
-
Abstract
- Introduction: Increasing advance care planning (ACP) among older adults is a national priority. Documentation of ACP in the electronic health record (EHR) is particularly important during emergency care. Objective: We sought to characterize completion and availability of ACP among a subset of older patients at an academic emergency department (ED) with an integrated EHR. Methods: In this cross-sectional study, patients were eligible if aged ≥80 years or aged 65-79 with ≥1 indicator of high risk for short-term mortality. Patient-reported completion of ACP and availability of ACP documentation in the EHR were assessed. Results: Among study patients ( n = 104), 59% reported completing some form of ACP: living will 52%, heathcare power of attorney 54%, do not resuscitate 38%, and medical orders for scope of treatment or physician orders for life-sustaining treatment 6%. Whites were more likely to report having some form of ACP than minorities (66% vs. 37%, p < 0.01), as were patients aged ≥80 years than those aged 65-79 (79% vs. 44%, p < 0.01). Only 13% of all patients had either a current code status or any other current ACP documentation in the EHR. Among patients whose primary care provider uses the same EHR system as the study ED, only 19% had a current code status or any other ACP documentation in the EHR. Conclusion: In a sample of older ED patients likely to benefit from ACP, few patients had documented end-of-life care preferences in the EHR. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CONFIDENCE intervals
*DO-not-resuscitate orders
*DOCUMENTATION
*EMERGENCY medical services
*LONGITUDINAL method
*MEDICAL protocols
*POWER of attorney
*PROBABILITY theory
*QUESTIONNAIRES
*STATISTICS
*THERAPEUTICS
*ADVANCE directives (Medical care)
*ACCESS to information
*INTER-observer reliability
*LIVING wills
*CROSS-sectional method
*DATA analysis software
*ELECTRONIC health records
Subjects
Details
- Language :
- English
- ISSN :
- 10966218
- Volume :
- 20
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Journal of Palliative Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 120280707
- Full Text :
- https://doi.org/10.1089/jpm.2016.0243