Understanding how advance care planning is approached in the residential aged care setting: a continuum model of practice as an explanatory device
Shanley, C, Whitmore, E, Khoo, A, Cartwright, CM, Walker, A & Cumming, RG 2009, 'Understanding how advance care planning is approached in the residential aged care setting: a continuum model of practice as an explanatory device', Australasian Journal on Ageing, vol. 28, no. 4, pp. 211-215.
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Objective: To gain an understanding of how advance care planning (ACP) is understood and approached by managers of residential aged care facilities.
Methods: Qualitative interviews with managers from 41 residential aged care facilities from South Western Sydney, Australia. Content and thematic analysis of interview transcripts.
Results: The majority of facilities do not have a systematic approach to ACP, but tend to initiate discussions about end-of-life treatments late in a resident's illness. There are varying degrees to which these discussions are used in ongoing care planning or made explicit if the resident is transferred to hospital. A number of factors are identified that support the implementation of ACP.
Conclusion: A continuum model of practice is proposed that describes four broad approaches to practice under the domains of initiation, scope, follow-up and documentation of ACP as well as the organisational leadership adopted around ACP.