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Health care professionals’perspectives of advance careplanning for people withdementia living in long-termcare settings: A narrativereview of the literature

Beck, Esther-Ruth, McIlfatrick, Sonja, Hasson, Felicity and Leavey, Gerard (2015) Health care professionals’perspectives of advance careplanning for people withdementia living in long-termcare settings: A narrativereview of the literature. Dementia . [Journal article]

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URL: http://dem.sagepub.com/content/early/2015/09/16/1471301215604997.abstract

DOI: 10.1177/1471301215604997

Abstract

This paper provides an overview of the evidence on the perspective of health care professionals(HCPs) in relation to advance care planning (ACP) for people with dementia, residing in long-termcare settings. A narrative approach was adopted to provide a comprehensive synthesis ofpreviously published literature in the area. A systematic literature search identified 14 papersfor inclusion. Following review of the studies four themes were identified for discussion; Earlyintegration and planning for palliative care in dementia; HCPs ethical and moral concernsregarding ACP; Communication challenges when interacting with the person with dementiaand their families and HCPs need for education and training. Despite evidence, that HCPsrecognise the potential benefits of ACP, they struggle with its implementation in this setting.Greater understanding of dementia and the concept of ACP is required to improveconsistency in practice. Synthesising the existing evidence will allow for further understandingof the key issues, potentially resulting in improved implementation in practice

Item Type:Journal article
Keywords:advance care planning, end-of-life decision making, nursing home, health care professionals
Faculties and Schools:Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research
Psychology Research Institute
Institute of Nursing and Health Research > Managing Chronic Illness Research Centre
Institute of Nursing and Health Research > Education and Professional Issues Research Group
Psychology Research Institute > Population Health Sciences and Mental Health Services
ID Code:32355
Deposited By: Professor Sonja McIlfatrick
Deposited On:29 Sep 2015 08:29
Last Modified:23 Nov 2016 12:30

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