Disease-Specific Advance Care Planning Interventions for Older Adults

Purpose of Review Advance care planning is beneficial but underutilized for older patients with dementia, cancer, end-stage renal disease, lung disease, or heart failure. The purpose of this paper is to highlight recent disease-specific innovations aimed at improving the delivery of advance care pla...

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Published inCurrent geriatrics reports Vol. 8; no. 1; pp. 12 - 20
Main Authors Freeland, Deborah G., Wu, David Shih
Format Journal Article
LanguageEnglish
Published New York Springer US 01.03.2019
Springer Nature B.V
Subjects
Adults
Advance directives
Cancer
Caregivers
Chronic illnesses
Clinical trials
Communication
Decision making
Dementia
Documentation
Educational materials
Enteral nutrition
Family physicians
Feasibility
Geriatrics/Gerontology
Heart failure
Intervention
Lung diseases
Medicine
Medicine & Public Health
Neurology
Nurse practitioners
Nursing homes
Older people
Pain Medicine
Palliative care
Palliative Care (D Wu
Patient satisfaction
Pilot projects
Planning
Psychopharmacology
Quality of life
Rheumatology
Section Editor
Topical Collection on Palliative Care
Advance directive
Advance care planning
Patient-centered
Older adult
Communication
Shared decision-making
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Abstract Purpose of Review Advance care planning is beneficial but underutilized for older patients with dementia, cancer, end-stage renal disease, lung disease, or heart failure. The purpose of this paper is to highlight recent disease-specific innovations aimed at improving the delivery of advance care planning for older adults. Recent Findings We highlight 13 studies within the last 5 years focusing on advance care planning models in older adults with the above diseases. Summary Useful interventions include incorporation of non-physician facilitators, varying platforms of ACP delivery, surrogate participation, and written communication of patient preferences to other providers. Several existing models were applicable across disease types. Further research comparing advance care planning models in older adults is warranted.
AbstractList Purpose of ReviewAdvance care planning is beneficial but underutilized for older patients with dementia, cancer, end-stage renal disease, lung disease, or heart failure. The purpose of this paper is to highlight recent disease-specific innovations aimed at improving the delivery of advance care planning for older adults.Recent FindingsWe highlight 13 studies within the last 5 years focusing on advance care planning models in older adults with the above diseases.SummaryUseful interventions include incorporation of non-physician facilitators, varying platforms of ACP delivery, surrogate participation, and written communication of patient preferences to other providers. Several existing models were applicable across disease types. Further research comparing advance care planning models in older adults is warranted.
Purpose of Review Advance care planning is beneficial but underutilized for older patients with dementia, cancer, end-stage renal disease, lung disease, or heart failure. The purpose of this paper is to highlight recent disease-specific innovations aimed at improving the delivery of advance care planning for older adults. Recent Findings We highlight 13 studies within the last 5 years focusing on advance care planning models in older adults with the above diseases. Summary Useful interventions include incorporation of non-physician facilitators, varying platforms of ACP delivery, surrogate participation, and written communication of patient preferences to other providers. Several existing models were applicable across disease types. Further research comparing advance care planning models in older adults is warranted.
Author Freeland, Deborah G.
Wu, David Shih
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  givenname: David Shih
  surname: Wu
  fullname: Wu, David Shih
  email: dwu38@jhmi.edu
  organization: Palliative Care Program, Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine
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Keywords Advance directive
Advance care planning
Patient-centered
Older adult
Communication
Shared decision-making
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Snippet Purpose of Review Advance care planning is beneficial but underutilized for older patients with dementia, cancer, end-stage renal disease, lung disease, or...
Purpose of ReviewAdvance care planning is beneficial but underutilized for older patients with dementia, cancer, end-stage renal disease, lung disease, or...
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SubjectTerms Adults
Advance directives
Cancer
Caregivers
Chronic illnesses
Clinical trials
Communication
Decision making
Dementia
Documentation
Educational materials
Enteral nutrition
Family physicians
Feasibility
Geriatrics/Gerontology
Heart failure
Intervention
Lung diseases
Medicine
Medicine & Public Health
Neurology
Nurse practitioners
Nursing homes
Older people
Pain Medicine
Palliative care
Palliative Care (D Wu
Patient satisfaction
Pilot projects
Planning
Psychopharmacology
Quality of life
Rheumatology
Section Editor
Topical Collection on Palliative Care
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Title Disease-Specific Advance Care Planning Interventions for Older Adults
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