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Int J Palliat Nurs. 2018 Dec 2;24(12):576-583. doi: 10.12968/ijpn.2018.24.12.576.

Improving the approach to future care planning in care homes.

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Nurse Consultant for Care Homes, Care Home Project Team, London.
Practice Development Clinical Nurse Specialist, Care Home Project Team, London.
Audit Lead, Care Home Project Team, London.



There is international and national interest in the availability and provision of quality end-of-life care. In the UK this includes the promotion of advance care planning (ACP).


To support care home staff to apply national policy on ACP in practice.


A proactive document, the PErsonalised Advisory CarE (PEACE) plan, was created. An audit was undertaken of its implementation in practice in one care home.


All of the residents with a PEACE plan who died (n=8) did so in their preferred place of care; only 50% of residents (3 out of 6) without a PEACE plan died in their preferred place of care. No family members declined the opportunity to have a PEACE plan conversation.


Future care planning, rather than ACP, is required in nursing care homes. Research investigating the outcomes and cost-effectiveness of undertaking these conversations is required to further guide national recommendations.


Advance care planning; Care homes; Facilitation; Long-term care; Nursing home; PErsonalised Advisory CarE (PEACE) plan

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