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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.

Author information

1
Nurse Consultant for Care Homes, Care Home Project Team, London.
2
Practice Development Clinical Nurse Specialist, Care Home Project Team, London.
3
Audit Lead, Care Home Project Team, London.

Abstract

BACKGROUND::

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).

AIMS::

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

METHODS::

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

FINDINGS::

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.

CONCLUSION::

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.

KEYWORDS:

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

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