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1. Biomedical articles (top 50; 2009 to 2014)
1. |||||||||. 100%  Billings JA: The need for safeguards in advance care planning. J Gen Intern Med; 2012 May;27(5):595-600
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The need for safeguards in advance care planning.
  • The recent uproar about Medicare "death panels" draws attention to public and professional concerns that advance care planning might restrict access to desired life-sustaining care.
  • The primary goal of advance care planning is to promote the autonomy of a decisionally incapacitated patient when choices about life-sustaining treatments are encountered, but the safety of this procedure has not received deserved scrutiny.
  • Patients often do not understand their decisions or they may change their mind without changing their advance care directives.
  • A few recent reports show encouraging outcomes from advance care planning, but most studies indicate that the procedure is ineffective in protecting patients from unwanted treatments and may even undermine autonomy by leading to choices that do not reflect patient values, goals, and preferences.
  • Safeguards for advance care planning should be put in place, such as encouraging physicians to err on the side of preserving life when advance care directives are unclear, requiring a trained advisor to review non-emergent patient choices to limit life-sustaining treatment, training of clinicians in conducting such conversations, and structured discussion formats that first address values and goals rather than particular life-sustaining procedures.
  • Key targets for research include: how to improve completion rates for person wanting advance care directives, especially among minorities; more effective and standardized approaches to advance care planning discussions, including how best to present prognostic information to patients; methods for training clinicians and others to assist patients in this process; and systems for assuring that directives are available and up-to-date.
  • [MeSH-major] Advance Care Planning. Decision Making. Terminal Care
  • [MeSH-minor] Advance Directives. Communication. Humans. Life Support Care. Physician-Patient Relations

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  • [CommentIn] J Gen Intern Med. 2012 Nov;27(11):1404; author reply 1405 [22878859.001]
  • (PMID = 22237664.001).
  • [ISSN] 1525-1497
  • [Journal-full-title] Journal of general internal medicine
  • [ISO-abbreviation] J Gen Intern Med
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC3326115
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2. |||||||||. 95%  Levi BH, Dellasega C, Whitehead M, Green MJ: What influences individuals to engage in advance care planning? Am J Hosp Palliat Care; 2010 Aug;27(5):306-12
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] What influences individuals to engage in advance care planning?
  • BACKGROUND: Advance care planning (ACP) is an underutilized process that involves thinking about what kind of life-prolonging medical care one would want should the need arise, identifying a spokesperson, and then communicating these wishes.
  • CONCLUSIONS: The motivations for undertaking ACP that we have identified offer health care providers insight into effective strategies for facilitating the process of ACP with their patients.
  • [MeSH-major] Advance Care Planning. Advance Directives / psychology. Attitude to Health. Decision Making. Quality of Life / psychology
  • [MeSH-minor] Activities of Daily Living. Aged. Aged, 80 and over. Anecdotes as Topic. Female. Focus Groups. Humans. Male. Middle Aged. Patient Education as Topic. Pennsylvania. Questionnaires. Self Care / methods

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  • (PMID = 20103783.001).
  • [ISSN] 1938-2715
  • [Journal-full-title] The American journal of hospice & palliative care
  • [ISO-abbreviation] Am J Hosp Palliat Care
  • [Language] eng
  • [Grant] United States / NINR NIH HHS / NR / R21 NR-008539-01; United States / NINR NIH HHS / NR / R21 NR008539
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Other-IDs] NLM/ NIHMS490141; NLM/ PMC3766750
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3. |||||||||. 95%  Yung VY, Walling AM, Min L, Wenger NS, Ganz DA: Documentation of advance care planning for community-dwelling elders. J Palliat Med; 2010 Jul;13(7):861-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Documentation of advance care planning for community-dwelling elders.
  • BACKGROUND: Advance planning for end-of-life care has gained acceptance, but actual end-of-life care is often incongruent with patients' previously stated goals.
  • We assessed the flow of advance care planning information from patients to medical records in a community sample of older adults to better understand why advance care planning is not more successful.
  • METHODS: Our study used structured interview and medical record data from community-dwelling older patients in two previous studies: Assessing Care of Vulnerable Elders (ACOVE)-1 (245 patients age > or = 65 years and screened for high risk of death/functional decline in 1998-1999) and ACOVE-2 (566 patients age > or = 75 who screened positive for falls/mobility disorders, incontinence, and/or dementia in 2002-2003).
  • We compared interview data on patients' preferences, advance directives, and surrogate decision-makers with findings from the medical record.
  • RESULTS: In ACOVE-1, 38% of surveyed patients had thought about limiting the aggressiveness of medical care; 24% of surveyed patients stated that they had spoken to their doctor about this.
  • Among patients who reported that they had completed an advance directive and had given it to their health-care provider, 15% (ACOVE-1) and 47% (ACOVE-2) had advance directive information in the medical record.
  • Among patients who had not completed an advance directive but had given surrogate decision-maker information to their provider, 0% (ACOVE-1) and 16% (ACOVE-2) had documentation of a surrogate decision-maker in the medical record.
  • CONCLUSIONS: Community-dwelling elders' preferences for end-of-life care are not consistent with documentation in their medical records.
  • Electronic health records and standardized data collection for end-of-life care could begin to ameliorate this problem.
  • [MeSH-major] Advance Care Planning / standards. Advance Directive Adherence. Documentation / standards. Frail Elderly
  • [MeSH-minor] Aged. Aged, 80 and over. California. Female. Humans. Independent Living. Male. Managed Care Programs. Medical Records. Patient Preference. Quality of Health Care

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  • (PMID = 20618087.001).
  • [ISSN] 1557-7740
  • [Journal-full-title] Journal of palliative medicine
  • [ISO-abbreviation] J Palliat Med
  • [Language] eng
  • [Grant] United States / NIA NIH HHS / AG / K12 AG001004; United States / AHRQ HHS / HS / R21 HS017621-01; United States / BHP HRSA HHS / PE / T32 PE19001
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC2939845
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4. |||||||||. 94%  Patel K, Janssen DJ, Curtis JR: Advance care planning in COPD. Respirology; 2012 Jan;17(1):72-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning in COPD.
  • The review aims to discuss current concepts in advance care planning (ACP) for patients with COPD, and to provide a narrative review of recent trends in ACP and end-of-life care for patients with COPD.
  • ACP, which involves patient-clinician communication about end-of-life care, can improve outcomes for patients and their families, and may be especially relevant for patients with COPD.
  • It is important for clinicians to understand patients' values and preferences for life-sustaining treatments as well for their site of terminal care.
  • Unfortunately, discussions about ACP and end-of-life care in current practice are scarce, and their quality is often poor.
  • ACP should be implemented alongside curative-restorative care for patients with advanced COPD.
  • The disease course of COPD is such that there will rarely be a clear transition point predicting the timing of the need for initiation of end-of-life care.
  • Future studies should focus on interventions that facilitate concurrent ACP and prepare patients for making in-the-moment decisions, with the goal of improving the quality of end-of-life care.
  • [MeSH-major] Advance Care Planning. Dyspnea / therapy. Palliative Care. Pulmonary Disease, Chronic Obstructive / therapy. Terminal Care


5. ||||||||.. 84%  Holley JL: Advance care planning in CKD/ESRD: an evolving process. Clin J Am Soc Nephrol; 2012 Jun;7(6):1033-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning in CKD/ESRD: an evolving process.
  • Advance care planning was historically considered to be simply the completion of a proxy (health care surrogate designation) or instruction (living will) directive that resulted from a conversation between a patient and his or her physician.
  • We now know that advance care planning is a much more comprehensive and dynamic patient-centered process used by patients and families to strengthen relationships, achieve control over medical care, prepare for death, and clarify goals of care.
  • Some advance directives, notably designated health care proxy documents, remain appropriate expressions of advance care planning.
  • Moreover, although physician orders, such as do-not-resuscitate orders and Physician Orders for Life-Sustaining Treatment, may not be strictly defined as advance directives, their completion, when appropriate, is an integral component of advance care planning.
  • The changing health circumstances and illness trajectory characteristic of ESRD mandate that advance care planning discussions adapt to a patient's situation and therefore must be readdressed at appropriate times and intervals.
  • The options of withholding and withdrawing dialysis add ESRD-specific issues to advance care planning in this population and are events each nephrologist will at some time confront.
  • Advance care planning is important throughout the spectrum of ESRD and is a part of nephrology practice that can be rewarding to nephrologists and beneficial to patients and their families.
  • [MeSH-major] Advance Care Planning. Kidney Failure, Chronic / therapy. Quality of Life. Renal Dialysis
  • [MeSH-minor] Advance Directives. Communication. Disease Progression. Family Relations. Humans. Physician-Patient Relations. Professional-Family Relations. Prognosis. Proxy. Resuscitation Orders. Third-Party Consent. Time Factors. Treatment Refusal. Withholding Treatment

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  • (PMID = 22461536.001).
  • [ISSN] 1555-905X
  • [Journal-full-title] Clinical journal of the American Society of Nephrology : CJASN
  • [ISO-abbreviation] Clin J Am Soc Nephrol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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6. ||||||||.. 82%  Bloomer M, Tan H, Lee S: End of life care--the importance of advance care planning. Aust Fam Physician; 2010 Oct;39(10):734-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] End of life care--the importance of advance care planning.
  • BACKGROUND: Communication about end of life care may involve difficult conversations for patients, family members and health professionals.
  • However, a lack of understanding of a person's wishes about their future care may result in a loss of dignity for the person, and additional distress for their family members and health professionals and burden to the healthcare system.
  • OBJECTIVE: This article discusses the barriers to advance care planning and provides some guidance for the general practitioner in undertaking advance care planning with patients and their families.
  • Tips for initiating end of life discussions with patients and families utilising the 'PREPARED' acronym, and ensuring appropriate care delivery are included.
  • DISCUSSION: Involving patients and their family members in advance care planning may be challenging and time consuming for GPs.
  • [MeSH-major] Advance Care Planning. Terminal Care
  • [MeSH-minor] Aging. Attitude to Death. Australia. Humans. Palliative Care. Physician-Patient Relations

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  • (PMID = 20890474.001).
  • [ISSN] 0300-8495
  • [Journal-full-title] Australian family physician
  • [ISO-abbreviation] Aust Fam Physician
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Australia
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7. ||||||||.. 80%  Gesme DH, Wiseman M: Advance care planning with your patients. J Oncol Pract; 2011 Nov;7(6):e42-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning with your patients.
  • Studies have shown that patients want their doctor to talk to them about their advance care plans, and they want that discussion sooner rather than later.

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  • [Cites] J Clin Oncol. 2011 Feb 20;29(6):755-60 [21263086.001]
  • [Cites] N Engl J Med. 2010 Aug 19;363(8):733-42 [20818875.001]
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  • [Cites] J Gen Intern Med. 2001 Jan;16(1):32-40 [11251748.001]
  • [Cites] BMJ. 2010;340:c1345 [20332506.001]
  • (PMID = 22379431.001).
  • [ISSN] 1935-469X
  • [Journal-full-title] Journal of oncology practice / American Society of Clinical Oncology
  • [ISO-abbreviation] J Oncol Pract
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC3219475
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8. |||||||||. 101%  Malcomson H, Bisbee S: Perspectives of healthy elders on advance care planning. J Am Acad Nurse Pract; 2009 Jan;21(1):18-23
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Perspectives of healthy elders on advance care planning.
  • PURPOSE: To present a qualitative study that explored the perspectives of healthy elders on advance care planning.
  • CONCLUSIONS: The data reveal five major themes: advance care planning is strongly influenced by concern for others; elders assume that preferences are known to their trusted friends, family, and providers, even in the absence of explicit communication with these people; elders value a healthcare system that supports provider time, focus, and continuity; being "known" to a provider is critical to comfort that advance care planning preferences will be respected; and elders are generally ready and eager to discuss advance care planning.
  • Additional findings include: elders are better prepared for the event of death than the dying process; lawyers and financial planners play a prominent role in guiding elders through end-of-life decisions; and elders believe that the optimal time for advance care planning discussion is during periods of relative wellness.
  • IMPLICATIONS FOR PRACTICE: Enhanced understanding of the patient perspective is key to incorporating advance care planning for healthy elders in the ideal milieu of primary care.
  • [MeSH-major] Advance Care Planning / organization & administration. Aged / psychology. Attitude to Health. Needs Assessment / organization & administration
  • [MeSH-minor] Advance Directive Adherence / psychology. Aged, 80 and over. Communication. Decision Making. Family / psychology. Female. Focus Groups. Friends / psychology. Humans. Interpersonal Relations. Male. Middle Aged. Nursing Methodology Research. Patient Education as Topic. Patient Participation / methods. Patient Participation / psychology. Proxy. Qualitative Research. Questionnaires. Social Support

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  • (PMID = 19125891.001).
  • [ISSN] 1745-7599
  • [Journal-full-title] Journal of the American Academy of Nurse Practitioners
  • [ISO-abbreviation] J Am Acad Nurse Pract
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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9. |||||||||. 99%  Cairns R: Advance care planning: thinking ahead to achieve our patients' goals. Br J Community Nurs; 2011 Sep;16(9):427
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  • [Title] Advance care planning: thinking ahead to achieve our patients' goals.
  • The End of Life Care Strategy for England describes advance care planning (ACP) as a 'voluntary process of discussion about future care...concerns and wishes...values or personal goals for care, their understanding of their illness and prognosis...wishes for types of care or treatment and the availability of these' (Department of Health (DH), 2008).
  • [MeSH-major] Advance Care Planning
  • [MeSH-minor] Community Health Nursing. Great Britain. Humans. Palliative Care

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  • (PMID = 22067950.001).
  • [ISSN] 1462-4753
  • [Journal-full-title] British journal of community nursing
  • [ISO-abbreviation] Br J Community Nurs
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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10. |||||||||. 96%  Dempsey D: Advance care planning for people with dementia: benefits and challenges. Int J Palliat Nurs; 2013 May;19(5):227-34
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  • [Title] Advance care planning for people with dementia: benefits and challenges.
  • Advance care planning (ACP) is a process being championed within health and social care, particularly since the publication of the UK Department of Health's 2008 End of Life Care Strategy.
  • However, its implementation in dementia care is yet to be fully realised and can pose significant ethical and legal dilemmas for the generic and specialist workforce, the patient themselves, and their family or loved ones.
  • [MeSH-major] Advance Care Planning. Dementia / therapy. Palliative Care

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  • (PMID = 23971306.001).
  • [ISSN] 1357-6321
  • [Journal-full-title] International journal of palliative nursing
  • [ISO-abbreviation] Int J Palliat Nurs
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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11. ||||||||.. 80%  Sudore RL, Fried TR: Redefining the "planning" in advance care planning: preparing for end-of-life decision making. Ann Intern Med; 2010 Aug 17;153(4):256-61
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Redefining the "planning" in advance care planning: preparing for end-of-life decision making.
  • The traditional objective of advance care planning has been to have patients make treatment decisions in advance so that clinicians can attempt to provide care consistent with their goals.
  • The authors contend that the objective for advance care planning ought to be the preparation of patients and surrogates to participate with clinicians in making the best possible in-the-moment medical decisions.
  • Advance directives, although important, are just one piece of information to be used at the time of decision making.
  • [MeSH-major] Advance Care Planning. Decision Making. Patient Preference / psychology. Proxy / psychology

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  • (PMID = 20713793.001).
  • [ISSN] 1539-3704
  • [Journal-full-title] Annals of internal medicine
  • [ISO-abbreviation] Ann. Intern. Med.
  • [Language] eng
  • [Grant] United States / NIA NIH HHS / AG / K24 AG028443; United States / NIA NIH HHS / AG / K24 AG028443-02; United States / NIA NIH HHS / AG / K24 AG028443-05
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.
  • [Publication-country] United States
  • [Other-IDs] NLM/ NIHMS227081; NLM/ PMC2935810
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12. ||||||||.. 79%  Aw D, Hayhoe B, Smajdor A, Bowker LK, Conroy SP, Myint PK: Advance care planning and the older patient. QJM; 2012 Mar;105(3):225-30
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning and the older patient.
  • Advance care planning should help with making these decisions clearer, based on the documented preferences of what the patient would have wanted while capacity was still present.
  • However, such documents are still very rarely used, and even if they are, health-care professionals are often wary of them for the multitude of ethical and legal problems that can arise.
  • [MeSH-major] Advance Care Planning / ethics. Advance Care Planning / utilization. Advance Directives / ethics
  • [MeSH-minor] Age Factors. Aged. Comorbidity. Decision Making. Health Knowledge, Attitudes, Practice. Humans. Professional-Patient Relations

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  • (PMID = 22075012.001).
  • [ISSN] 1460-2393
  • [Journal-full-title] QJM : monthly journal of the Association of Physicians
  • [ISO-abbreviation] QJM
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] England
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13. ||||||||.. 78%  Schubart JR, Levi BH, Camacho F, Whitehead M, Farace E, Green MJ: Reliability of an interactive computer program for advance care planning. J Palliat Med; 2012 Jun;15(6):637-42
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  • [Title] Reliability of an interactive computer program for advance care planning.
  • Despite widespread efforts to promote advance directives (ADs), completion rates remain low.
  • Making Your Wishes Known: Planning Your Medical Future (MYWK) is an interactive computer program that guides individuals through the process of advance care planning, explaining health conditions and interventions that commonly involve life or death decisions, helps them articulate their values/goals, and translates users' preferences into a detailed AD document.
  • [MeSH-major] Advance Care Planning. User-Computer Interface

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  • (PMID = 22512830.001).
  • [ISSN] 1557-7740
  • [Journal-full-title] Journal of palliative medicine
  • [ISO-abbreviation] J Palliat Med
  • [Language] eng
  • [Grant] United States / NINR NIH HHS / NR / 1R21NR008539
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC3362955
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14. ||||||||.. 77%  Wada T: [Depression screening and possible applications of advance care planning]. Nihon Ronen Igakkai Zasshi; 2013;50(3):319-22
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  • [Title] [Depression screening and possible applications of advance care planning].
  • Depression screening was conducted to determine the health status of community-dwelling elderly individuals, and the concept of advance care planning was introduced.
  • Advance care planning is a process of discussion between individuals and their care providers to make decisions about future care preferences and priorities, while they are still capable.
  • If they wish, they may prepare an advance directive to inform others about their decisions and best interests, such as a written advance decision to refuse treatment and/or appointment of a person with lasting powers of attorney.
  • The purpose of advance care planning is to enable elderly persons to receive better end-of-life care.
  • To promote introduction of advance care planning in Japan, voluntary discussion among family members should be encouraged.

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  • (PMID = 23979330.001).
  • [ISSN] 0300-9173
  • [Journal-full-title] Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics
  • [ISO-abbreviation] Nihon Ronen Igakkai Zasshi
  • [Language] jpn
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Japan
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15. ||||||||.. 77%  Fried TR, Redding CA, Robbins ML, Paiva A, O'Leary JR, Iannone L: Stages of change for the component behaviors of advance care planning. J Am Geriatr Soc; 2010 Dec;58(12):2329-36
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  • [Title] Stages of change for the component behaviors of advance care planning.
  • OBJECTIVES: To develop stages-of-change measures for advance care planning (ACP), conceptualized as a group of interrelated but separate behaviors, and to use these measures to characterize older persons' engagement in and factors associated with readiness to participate in ACP.
  • Few sociodemographic, health, or psychosocial factors were associated with stages of change for completing a living will, but a broader range of factors was associated with stages of change for communication with loved ones about quantity versus quality of life.
  • [MeSH-major] Advance Care Planning. Communication. Patient Acceptance of Health Care / psychology. Physician-Patient Relations. Quality of Life
  • [MeSH-minor] Advance Directives / psychology. Aged. Aged, 80 and over. Aging. Caregivers / psychology. Cohort Studies. Connecticut. Female. Geriatric Assessment. Health Behavior. Humans. Living Wills / psychology. Male. Self Efficacy

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  • [Copyright] © 2010, Copyright the Authors. Journal compilation © 2010, The American Geriatrics Society.
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  • (PMID = 21143441.001).
  • [ISSN] 1532-5415
  • [Journal-full-title] Journal of the American Geriatrics Society
  • [ISO-abbreviation] J Am Geriatr Soc
  • [Language] eng
  • [Grant] United States / NIA NIH HHS / AG / K24 AG028443-01A2; United States / NIA NIH HHS / AG / K24 AG028443-05; United States / NIA NIH HHS / AG / K24 AG28443; United States / NIA NIH HHS / AG / P30AG21342; United States / NIA NIH HHS / AG / R01 AG019769-01A1; United States / NIA NIH HHS / AG / R01 AG19769
  • [Publication-type] Journal Article; Multicenter Study; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Other-IDs] NLM/ NIHMS243883; NLM/ PMC3058883
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16. |||||||||. 93%  McMahan RD, Knight SJ, Fried TR, Sudore RL: Advance care planning beyond advance directives: perspectives from patients and surrogates. J Pain Symptom Manage; 2013 Sep;46(3):355-65
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning beyond advance directives: perspectives from patients and surrogates.
  • CONTEXT: Advance care planning (ACP) has focused on documenting life-sustaining treatment preferences in advance directives (ADs).
  • [MeSH-major] Advance Care Planning / organization & administration. Advance Care Planning / statistics & numerical data. Attitude to Death. Attitude to Health. Decision Making. Patients / statistics & numerical data. Proxy / statistics & numerical data

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  • [Copyright] Published by Elsevier Inc.
  • (PMID = 23200188.001).
  • [ISSN] 1873-6513
  • [Journal-full-title] Journal of pain and symptom management
  • [ISO-abbreviation] J Pain Symptom Manage
  • [Language] eng
  • [Publication-type] Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
  • [Publication-country] United States
  • [Keywords] NOTNLM ; Advance directives / aging / decision making / qualitative research
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17. |||||||||. 92%  Samara J, Larkin D, Chan CW, Lopez V: Advance care planning in the oncology settings. Int J Evid Based Healthc; 2013 Jun;11(2):110-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning in the oncology settings.
  • BACKGROUND: Self-determination and patient choice of end-of-life care are emphasised in palliative care.
  • Advance care planning (ACP) is an approach to enabling patients' choices.
  • Little is known about oncology care nurses' views and the barriers they face in the implementation of ACP.
  • OBJECTIVE: The aims of this study were to assess the uptake of ACP by health professionals and explore nurses' perceived barriers for implementing ACP.
  • [MeSH-major] Advance Care Planning / standards. Attitude of Health Personnel. Medical Oncology / education. Oncology Nursing / education. Palliative Care / standards. Terminal Care / standards

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  • [Copyright] © 2013 The Authors. International Journal of Evidence-Based Healthcare © 2013 The Joanna Briggs Institute.
  • (PMID = 23750573.001).
  • [ISSN] 1744-1609
  • [Journal-full-title] International journal of evidence-based healthcare
  • [ISO-abbreviation] Int J Evid Based Healthc
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Australia
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18. ||||||||.. 84%  Janssen DJ, Engelberg RA, Wouters EF, Curtis JR: Advance care planning for patients with COPD: past, present and future. Patient Educ Couns; 2012 Jan;86(1):19-24
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning for patients with COPD: past, present and future.
  • OBJECTIVE: To discuss the importance, current status and directions for improvement of advance care planning and communication about end-of-life care for patients with Chronic Obstructive Pulmonary Disease (COPD).
  • METHODS: Narrative review of the currently available literature regarding advance care planning and communication about end-of-life care in COPD.
  • RESULTS: Advance care planning, including patient-clinician communication about end-of-life care, can improve outcomes for patients and their families and may be particularly important for patients with COPD.
  • Despite these advantages, advance care planning and conversations about end-of-life care in current practice are limited and their quality is often poor.
  • CONCLUSION: Advance care planning can improve outcomes for patients and their relatives.
  • Recent studies provide directions for how to facilitate advance care planning for patients with COPD.
  • PRACTICE IMPLICATIONS: Advance care planning ought to be part of care for patients with advanced COPD.
  • Future studies should focus on interventions to facilitate advance care planning in patients with COPD with the goal of improving the quality of end-of-life care.
  • [MeSH-major] Advance Care Planning. Communication. Decision Making. Personal Autonomy. Physician-Patient Relations. Pulmonary Disease, Chronic Obstructive / psychology
  • [MeSH-minor] Humans. Patient Care Team. Patient Satisfaction. Prognosis


19. ||||||||.. 83%  Jeong SY, Higgins I, McMillan M: The essentials of Advance Care Planning for end-of-life care for older people. J Clin Nurs; 2010 Feb;19(3-4):389-97
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The essentials of Advance Care Planning for end-of-life care for older people.
  • AIMS AND OBJECTIVES: The aim of the study was to investigate the phenomenon of Advance Care Planning and the use of Advance Care Directives in residential aged care facilities in Australia.
  • The objectives were to: investigate the implementation process of Advance Care Planning and the use of Advance Care Directives; investigate the outcomes of Advance Care Planning and experiences of people involved in Advance Care Planning and Advance Care Directives, including residents, families and nursing staff.
  • BACKGROUND: Benefits of Advance Care Planning for older residents are considerable given their degenerative health-breakdown and minimal chance of recovery.
  • To date, the use of Advance Care Planning and Advance Care Directives is limited and models of service delivery and processes are needed to enhance best practice with Advance Care Planning and positive outcomes for older Australians.
  • METHODS: The study conducted using multiple sources of evidence to enrich understanding of the phenomenon of Advance Care Planning.
  • The findings contribute to the limited knowledge of options currently available to older adults and their families in their decision-making about end-of-life care options.
  • PERMISSION TO CONDUCT THE STUDY: Prior to commencement of the data collection, ethics clearances from the University of Newcastle and the regional Area Health Service were achieved.
  • Permission to access the residential aged care facilities to undertake the study was obtained from the relevant residential aged care facility ethics committees or designated authorities.
  • RESULTS: The research identified the components and factors involved in the Advance Care Planning process and in attaining desired outcomes.
  • The conceptual framework developed elaborates how Advance Care Planning should be implemented and what may constitute successful implementation of Advance Care Planning in residential aged care facilities.
  • The four main elements (input, throughput, output, feedback), and 20 sub-elements were requisites for nurses to initiate and implement the Advance Care Planning.
  • CONCLUSION: The essential components for end-of-life care are identified in the implementation processes of Advance Care Planning in residential aged care facilities.
  • RELEVANCE TO CLINICAL PRACTICE: The case study identified four determinative requisites for successful implementation of Advance Care Planning in aged care facilities: the expert nurse, discussion, education and involvement of a multidisciplinary team.
  • Nurses should take these factors into account and use person-centred approach in formalised processes to encourage participation in plans for end-of-life care.
  • [MeSH-major] Advance Directives. Planning Techniques. Terminal Care

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  • (PMID = 20500278.001).
  • [ISSN] 1365-2702
  • [Journal-full-title] Journal of clinical nursing
  • [ISO-abbreviation] J Clin Nurs
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
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20. ||||||||.. 83%  Randall F: Advance care planning: ethical and clinical implications for hospital medicine. Br J Hosp Med (Lond); 2011 Aug;72(8):437-40
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning: ethical and clinical implications for hospital medicine.
  • Advance care planning takes place 'in advance of' anticipated loss of capacity with the aim of informing the best interests judgments required when capacity is later lost.
  • It is an ethically and clinically distinct subset of general care planning.
  • [MeSH-major] Advance Care Planning / ethics. Hospitals
  • [MeSH-minor] Advance Directives. Decision Making. Humans. Planning Techniques

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  • (PMID = 21841587.001).
  • [ISSN] 1750-8460
  • [Journal-full-title] British journal of hospital medicine (London, England : 2005)
  • [ISO-abbreviation] Br J Hosp Med (Lond)
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] England
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21. ||||||||.. 82%  Motley M: Improving patient-centered care through advance care planning. JAAPA; 2013 Jun;26(6):38-43
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Improving patient-centered care through advance care planning.
  • Advance care planning is crucial for patients confronting incurable, debilitating, or terminal disease.
  • Discussing end-of-life issues can reduce overtreatment and undertreatment as defined by the patient, and improve satisfaction with care.
  • [MeSH-major] Advance Directives. Patient-Centered Care / standards. Quality Improvement

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  • (PMID = 23805592.001).
  • [ISSN] 1547-1896
  • [Journal-full-title] JAAPA : official journal of the American Academy of Physician Assistants
  • [ISO-abbreviation] JAAPA
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
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22. ||||||||.. 82%  Jeong SY, Higgins I, tMcMillan M: Experiences with advance care planning: older people and family members' perspective. Int J Older People Nurs; 2011 Sep;6(3):176-86
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Experiences with advance care planning: older people and family members' perspective.
  • AIMS AND OBJECTIVES: The aim of this study is to report the findings of a case study that explored the phenomenon of advance care planning and advanced care directives in residential care settings in Australia.
  • BACKGROUND: Understanding the phenomenon of advance care planning and advanced care directives is vital to end of life decision making.
  • There are few studies that report the experiences of older people and family members in relation to advance care planning and advanced care directives.
  • FINDINGS: The participants' early experiences with advance care planning were expressed in unpleasant, hostile and negative ways.
  • Advance care planning led to a different level of appreciation of personal entity and transcendence.
  • However, advance care planning demands concerted action and support by everyone involved.
  • [MeSH-major] Advance Directives / psychology. Aging / psychology. Family / psychology. Geriatric Nursing / methods. Nursing Staff / psychology. Residential Facilities / organization & administration
  • [MeSH-minor] Adult. Aged. Attitude to Health. Australia. Female. Hostility. Humans. Male. Middle Aged. Multiple Sclerosis / nursing. Multiple Sclerosis / psychology. Nurse-Patient Relations. Nursing Methodology Research. Organizational Case Studies. Social Support. Terminal Care / organization & administration. Terminal Care / psychology


23. ||||||||.. 82%  Black K: Promoting advance care planning through the National Healthcare Decisions Day initiative. J Soc Work End Life Palliat Care; 2010;6(1-2):11-26
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Promoting advance care planning through the National Healthcare Decisions Day initiative.
  • National Healthcare Decisions Day is a nationwide campaign aimed at increasing advance care planning among adults throughout the country.
  • This broad-scale initiative simultaneously seeks to encourage Americans to express their wishes regarding future healthcare decision making, rally a national media campaign to promote the importance of planning in advance for care, and mobilize national, state, and community organizations to develop a wide range of educational activities.
  • The movement culminates in an annual day of multiple events throughout the country designed to inundate the public about advance care planning.
  • The national event originated from the successful statewide Virginia Advance Directives Day's inaugural event, conducted on April 18, 2006.
  • [MeSH-major] Advance Care Planning. Health Promotion
  • [MeSH-minor] Advance Directives. Humans. Planning Techniques. Program Evaluation. Social Work. United States

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  • (PMID = 20544475.001).
  • [ISSN] 1552-4264
  • [Journal-full-title] Journal of social work in end-of-life & palliative care
  • [ISO-abbreviation] J Soc Work End Life Palliat Care
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
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24. ||||||||.. 81%  Baughman KR, Aultman J, Hazelett S, Palmisano B, O'Neill A, Ludwick R, Sanders M: Managing in the trenches of consumer care: the challenges of understanding and initiating the advance care planning process. J Gerontol Soc Work; 2012;55(8):721-37
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Managing in the trenches of consumer care: the challenges of understanding and initiating the advance care planning process.
  • To better understand how community-based long-term care providers define advance care planning and their role in the process, we conducted 8 focus groups with 62 care managers (social workers and registered nurses) providing care for Ohio's Medicaid waiver program.
  • Care managers shared that most consumers had little understanding of advance care planning.
  • The care managers defined it broadly, including legal documentation, social aspects, medical considerations, ongoing communication, and consumer education.
  • Care managers saw their roles as information providers, healthcare team members, and educators/coaches.
  • [MeSH-major] Advance Care Planning / organization & administration. Health Personnel. Health Services for the Aged. Long-Term Care. Patient Care Management. Social Work / standards
  • [MeSH-minor] Attitude of Health Personnel. Decision Making. Focus Groups. Humans. Interpersonal Relations. Needs Assessment. Ohio. Patient Education as Topic. Qualitative Research. Terminal Care / organization & administration. Terminal Care / psychology

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  • (PMID = 23078607.001).
  • [ISSN] 1540-4048
  • [Journal-full-title] Journal of gerontological social work
  • [ISO-abbreviation] J Gerontol Soc Work
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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25. ||||||||.. 81%  Boddy J, Chenoweth L, McLennan V, Daly M: It's just too hard! Australian health care practitioner perspectives on barriers to advance care planning. Aust J Prim Health; 2013;19(1):38-45
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] It's just too hard! Australian health care practitioner perspectives on barriers to advance care planning.
  • This article presents findings from six focus groups with health care practitioners in an Australian hospital during 2010, which sought to elicit their perspectives on the barriers for people to plan their future health care should they become unwell.
  • Such knowledge is invaluable in overcoming the barriers associated with advance care planning and enhancing the uptake of advance directives and the appointment of an enduring power of attorney for people of all ages.
  • A person's rights to self-determination in health care, including decision making about their wishes for future care in the event they lose cognitive capacity, should not be overlooked against the backdrop of increasing pressure on health care systems.
  • Specifically, patient-centred barriers include lack of knowledge, accessibility concerns, the small 'window of opportunity' to discuss advance care planning, emotional reactions and avoidance when considering one's mortality, and demographic influences.
  • At the practitioner level, barriers relate to a lack of knowledge and uncertainty around advance care planning processes.
  • Systemically, legislative barriers (including a lack of a central registry and conflicting state legislation), procedural issues (particularly in relation to assessing cognitive capacity and making decisions ad hoc) and questions about delegation, roles and responsibilities further compound the barriers to advance care planning.
  • [MeSH-major] Advance Care Planning. Attitude of Health Personnel

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  • (PMID = 22951247.001).
  • [ISSN] 1448-7527
  • [Journal-full-title] Australian journal of primary health
  • [ISO-abbreviation] Aust J Prim Health
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Australia
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26. ||||||||.. 81%  Gittler J: Advance care planning and surrogate health care decision making for older adults. J Gerontol Nurs; 2011 May;37(5):15-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning and surrogate health care decision making for older adults.
  • Older adults have a legally recognized right to determine and control the health care they receive and are legally presumed to possess the capacity necessary to make health care decisions.
  • However, older adults are at major risk for life-threatening and serious health problems leading to a loss of their capacity to make end-of-life and other health care decisions.
  • Advance care planning is a process that enables older adults to specify who they want to act as a surrogate decision maker and what decisions they want made for them in the event of incapacitation.
  • Geriatric nurses can play a significant role in promoting advance care planning and the use of legal tools for such planning.
  • [MeSH-major] Advance Care Planning. Decision Making

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  • [Copyright] Copyright 2011, SLACK Incorporated.
  • (PMID = 21485982.001).
  • [ISSN] 0098-9134
  • [Journal-full-title] Journal of gerontological nursing
  • [ISO-abbreviation] J Gerontol Nurs
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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27. ||||||||.. 81%  Simpson C: Advance care planning in COPD: care versus "code status". Chron Respir Dis; 2012 Aug;9(3):193-204
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  • [Title] Advance care planning in COPD: care versus "code status".
  • Responsibility for initiating advance care planning in COPD has usually fallen to the physicians.
  • The tendency has been to avoid this aspect of care, which can result in inadequate, rushed, reactive, crisis decision-making in the form of a "code status" discussion.
  • In this article, I review the relevant literature and report findings from a qualitative study designed within my doctoral program to explore the question, "What is required for meaningful and effective advance care planning in the context of advanced COPD?
  • " I describe the "collaborative care" approach to advance care planning I used with eight patients and carers living with advanced COPD.
  • Done well, it may reclaim the care element in advance care planning as it addresses barriers cited by physicians and patients/families.
  • [MeSH-major] Advance Care Planning. Communication. Physician-Patient Relations. Pulmonary Disease, Chronic Obstructive / therapy
  • [MeSH-minor] Aged. Decision Making. Female. Humans. Male. Middle Aged. Palliative Care. Resuscitation Orders


28. ||||||||.. 80%  Davison SN: Advance care planning in patients with chronic kidney disease. Semin Dial; 2012 Nov-Dec;25(6):657-63
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  • [Title] Advance care planning in patients with chronic kidney disease.
  • Poor communication and failure to establish goals of care result in unnecessary admissions to hospital, invasive procedures, suffering, and prolongation of the dying process for many CKD patients.
  • Comprehensive CKD care requires systematic integration of advance care planning (ACP).
  • [MeSH-major] Advance Care Planning. Kidney Failure, Chronic / therapy. Renal Dialysis

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  • [Copyright] © 2012 Wiley Periodicals, Inc.
  • (PMID = 23173893.001).
  • [ISSN] 1525-139X
  • [Journal-full-title] Seminars in dialysis
  • [ISO-abbreviation] Semin Dial
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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29. ||||||||.. 78%  Samanta A, Samanta J: Advance care planning: the role of the nurse. Br J Nurs; 2010 Sep 9-22;19(16):1060-1
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning: the role of the nurse.
  • Advance care planning is a process designed to enable patients to discuss and record their values and treatment preferences to inform future care in the event that they lose decision-making capacity.
  • Current law provides for the appointment of a proxy decision-maker under a Lasting Power of Attorney, or advance decisions for treatment refusal.
  • [MeSH-major] Advance Care Planning / legislation & jurisprudence. Nurse's Role. Patient Advocacy / legislation & jurisprudence

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  • (PMID = 20852473.001).
  • [ISSN] 0966-0461
  • [Journal-full-title] British journal of nursing (Mark Allen Publishing)
  • [ISO-abbreviation] Br J Nurs
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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30. ||||||||.. 78%  Froggatt K, Vaughan S, Bernard C, Wild D: Advance care planning in care homes for older people: an English perspective. Palliat Med; 2009 Jun;23(4):332-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning in care homes for older people: an English perspective.
  • Advance care planning (ACP) as a process of discussing and recording wishes for future care and treatment is increasingly being promoted and discussed in the UK, reflecting recent changes in legislation.
  • This study describes current ACP practice in care homes for older people drawing on data from a questionnaire survey (n = 213) of, and interviews (n = 15) with, care home managers.
  • Whilst consultation about general care is taking place in the majority of homes surveyed using both formal and informal processes, the number of residents that have completed any ACP processes varies.
  • Managers face intrinsic and extrinsic challenges related to the ascertaining of, and the implementing of wishes as they address ACP in the care home context.
  • Until these wider contextual factors are addressed it will be difficult for staff in care homes to effectively undertake and implement ACP in care homes.
  • [MeSH-major] Advance Care Planning / standards. Homes for the Aged / standards. Informed Consent. Mental Competency. Quality of Health Care / standards

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  • (PMID = 19324923.001).
  • [ISSN] 1477-030X
  • [Journal-full-title] Palliative medicine
  • [ISO-abbreviation] Palliat Med
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
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31. ||||||||.. 78%  Fried TR, Redding CA, Robbins ML, O'Leary JR, Iannone L: Agreement between older persons and their surrogate decision-makers regarding participation in advance care planning. J Am Geriatr Soc; 2011 Jun;59(6):1105-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Agreement between older persons and their surrogate decision-makers regarding participation in advance care planning.
  • OBJECTIVES: To examine agreement between older persons and their surrogates regarding participation in advance care planning (ACP).
  • [MeSH-major] Advance Care Planning. Communication. Decision Making. Legal Guardians / psychology
  • [MeSH-minor] Aged. Aged, 80 and over. Caregivers / psychology. Chronic Disease / psychology. Comorbidity. Female. Health Status. Humans. Life Support Care / psychology. Living Wills. Male. Quality of Life / psychology

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  • [Copyright] © 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society.
  • (PMID = 21649619.001).
  • [ISSN] 1532-5415
  • [Journal-full-title] Journal of the American Geriatrics Society
  • [ISO-abbreviation] J Am Geriatr Soc
  • [Language] eng
  • [Grant] United States / NIA NIH HHS / AG / K24 AG028443; United States / NIA NIH HHS / AG / K24 AG28443; United States / NIA NIH HHS / AG / P30AG21342; United States / NIA NIH HHS / AG / R01 AG019769; United States / NIA NIH HHS / AG / R01 AG19769
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
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32. ||||||||.. 77%  Heyland DK, Barwich D, Pichora D, Dodek P, Lamontagne F, You JJ, Tayler C, Porterfield P, Sinuff T, Simon J, ACCEPT (Advance Care Planning Evaluation in Elderly Patients) Study Team, Canadian Researchers at the End of Life Network (CARENET): Failure to engage hospitalized elderly patients and their families in advance care planning. JAMA Intern Med; 2013 May 13;173(9):778-87
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Failure to engage hospitalized elderly patients and their families in advance care planning.
  • IMPORTANCE: Advance care planning can improve patient-centered care and potentially reduce intensification of care at the end of life.
  • OBJECTIVES: To inquire about patients' advance care planning activities before hospitalization and preferences for care from the perspectives of patients and family members, as well as to measure real-time concordance between expressed preferences for care and documentation of those preferences in the medical record.
  • SETTING: Twelve acute care hospitals in Canada.
  • MAIN OUTCOME MEASURES: Responses to an in-person administered questionnaire and concordance of expressed preferences and orders of care documented in the medical record.
  • Before hospitalization, most patients (76.3%) had thought about end-of-life (EOL) care, and only 11.9% preferred life-prolonging care; 47.9% of patients had completed an advance care plan, and 73.3% had formally named a surrogate decision maker for health care.
  • Of patients who had discussed their wishes, only 30.3% had done so with the family physician and 55.3% with any member of the health care team.
  • Agreement between patients' expressed preferences for EOL care and documentation in the medical record was 30.2%.
  • However, communication with health care professionals and documentation of these preferences remains inadequate.
  • [MeSH-major] Advance Care Planning. Advance Directives. Family. Inpatients. Patient Preference. Patient-Centered Care. Terminal Care

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  • [CommentIn] JAMA Intern Med. 2013 May 13;173(9):787 [23545699.001]
  • (PMID = 23545563.001).
  • [ISSN] 2168-6114
  • [Journal-full-title] JAMA internal medicine
  • [ISO-abbreviation] JAMA Intern Med
  • [Language] eng
  • [Grant] Canada / Canadian Institutes of Health Research / /
  • [Publication-type] Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Investigator] Pichora D; Mantle C; Thompson P; Berg B; Martin TL; Gonyea G; Holowachuk S; McAleenan S; Lutz L; Wikjord N; Warren K; Jefford M; Spring J; Ashley BJ; Robinson W; Dunham H; Bodman O; Langevin C; Simard D; Dobbs SN; Overvelde J; Jiang X; Day A; Enns B; Berg B; Martin TL; Kustogiannis J; Downar J; Ilan R; Cummins N; Johnson A
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33. ||||||||.. 77%  Rhee JJ, Zwar NA, Kemp LA: Uptake and implementation of Advance Care Planning in Australia: findings of key informant interviews. Aust Health Rev; 2012 Feb;36(1):98-104
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Uptake and implementation of Advance Care Planning in Australia: findings of key informant interviews.
  • OBJECTIVE: Advance Care Planning (ACP) has an important role in enhancing patient autonomy and guiding end-of-life care.
  • However, there is low uptake of ACP and evidence that advance care plans are often not implemented.
  • We explored these issues in interviews with expert clinicians and representatives of key stakeholder organisations with interest in end-of-life care.
  • RESULTS: Participants thought that the low uptake of ACP in Australia is a result of inadequate awareness, societal reluctance to discuss end-of-life issues, and lack of health professionals' involvement in ACP.
  • Problems in implementation of advance care plans were thought to be a result of problems in accessing ACP documents; interpreting written documents; making binding decisions for future unpredictable situations; and paternalistic attitudes of health professionals and families.
  • Participants had different perspectives on how advance care plans should be implemented, with some believing in strict implementation, whereas others believed in a more flexible approach.
  • IMPLICATIONS: Low uptake and poor implementation of advance care plans may be addressed by (1) increasing community awareness;.
  • (2) encouraging health professional involvement; and (3) system-wide implementation of multi-faceted interventions.
  • A patient-centred approach to ACP is required to resolve the differences in views on how advance care plans should be implemented.
  • [MeSH-major] Advance Care Planning / utilization. Diffusion of Innovation
  • [MeSH-minor] Australia. Humans. Interviews as Topic. Terminal Care / organization & administration

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  • (PMID = 22513028.001).
  • [ISSN] 0156-5788
  • [Journal-full-title] Australian health review : a publication of the Australian Hospital Association
  • [ISO-abbreviation] Aust Health Rev
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Australia
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34. ||||||||.. 77%  Levi BH, Wilkes M, Der-Martirosian C, Latow P, Robinson M, Green MJ: An interactive exercise in advance care planning for medical students. J Palliat Med; 2013 Dec;16(12):1523-7
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  • [Title] An interactive exercise in advance care planning for medical students.
  • BACKGROUND: With the growing need to train medical professionals how to engage their patients in advance care planning, this study examines medical students' experience using an interactive, online decision aid to help consenting adults complete an advance directive.
  • METHODS: Third-year medical students at the University of California, Davis (UC Davis) used an online, multimedia decision aid to help an adult discuss his or her wishes for medical treatment and create a formal advance directive for health care.
  • 1) students' personal experiences with advance care planning;.
  • 3) recommendations for practice regarding advance care planning; and 4) feedback about the online decision aid.
  • CONCLUSIONS: An interactive, online decision aid can play a meaningful role in educating medical professionals about advance care planning.

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  • (PMID = 24175635.001).
  • [ISSN] 1557-7740
  • [Journal-full-title] Journal of palliative medicine
  • [ISO-abbreviation] J Palliat Med
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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35. ||||||||.. 77%  Robinson CA: Advance care planning: re-visioning our ethical approach. Can J Nurs Res; 2011 Jun;43(2):18-37
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  • [Title] Advance care planning: re-visioning our ethical approach.
  • This qualitative study explored the applicability and usefulness of a promising advance care planning (ACP) intervention and examined the ACP process.
  • The process was found not to be one of preparing a substitute decision-maker to speak for oneself and direct health care at a time when one is incapacitated; rather, the families engaged in a deeply relational process where meaning, values, and preferences were negotiated in conversation.
  • [MeSH-major] Advance Care Planning. Ethics, Nursing

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  • (PMID = 21888004.001).
  • [ISSN] 0844-5621
  • [Journal-full-title] The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmières
  • [ISO-abbreviation] Can J Nurs Res
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Canada
  • [Chemical-registry-number] LBR207X9DF / Freedom
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36. ||||||||.. 77%  Blackford J, Street AF: Facilitating advance care planning in community palliative care: conversation starters across the client journey. Int J Palliat Nurs; 2013 Mar;19(3):132-9
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  • [Title] Facilitating advance care planning in community palliative care: conversation starters across the client journey.
  • This paper describes the development of a tool for palliative care nurses to initiate and facilitate advance care planning (ACP) conversations in community palliative care practice.
  • Seven community palliative care services located across Australia participated in a multi-site action research project.
  • Data included participant observation, individual and focus group interviews with palliative care health professionals, and medical record audit.
  • A directed content analysis used a pre-established palliative care practice framework of referral, admission, ongoing management, and terminal/discharge care.
  • It provided palliative care nurses the opportunity to introduce and progress ACP conversations.
  • [MeSH-major] Advance Care Planning. Community Health Services. Palliative Care

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  • (PMID = 23665571.001).
  • [ISSN] 1357-6321
  • [Journal-full-title] International journal of palliative nursing
  • [ISO-abbreviation] Int J Palliat Nurs
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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37. ||||||||.. 77%  Lyon ME, Jacobs S, Briggs L, Cheng YI, Wang J: Family-centered advance care planning for teens with cancer. JAMA Pediatr; 2013 May;167(5):460-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Family-centered advance care planning for teens with cancer.
  • IMPORTANCE: Advance care planning (ACP) prepares patients and their families for future health care decisions; however, the needs of adolescent oncology patients for participation in ACP have not been well studied.
  • Control subjects received standard care plus information.
  • CONCLUSIONS: Advance care planning enabled families to understand and honor their adolescents' wishes.
  • [MeSH-major] Advance Care Planning. Family. Legal Guardians. Neoplasms / therapy. Parent-Child Relations. Professional-Family Relations

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  • [CommentIn] JAMA Pediatr. 2013 May;167(5):489-90 [23478910.001]
  • (PMID = 23479062.001).
  • [ISSN] 2168-6211
  • [Journal-full-title] JAMA pediatrics
  • [ISO-abbreviation] JAMA Pediatr
  • [Language] eng
  • [Grant] United States / NCRR NIH HHS / RR / UL1RR031988
  • [Publication-type] Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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38. ||||||||.. 77%  Barnes KA, Barlow CA, Harrington J, Ornadel K, Tookman A, King M, Jones L: Advance care planning discussions in advanced cancer: analysis of dialogues between patients and care planning mediators. Palliat Support Care; 2011 Mar;9(1):73-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning discussions in advanced cancer: analysis of dialogues between patients and care planning mediators.
  • OBJECTIVE: Advance care planning (ACP) provides patients with an opportunity to consider, discuss, and plan their future care with health professionals.
  • METHOD: Forty patients with recurrent progressive cancer completed one or more ACP discussions with a trained planning mediator using a standardized topic guide.
  • RESULTS: Most patients had not spoken extensively to health professionals or close persons about the future.
  • Some patients wished for more accurate information and were unaware of their options for care.
  • The extent to which patients want to engage in ACP is variable, and support and training are needed for health professionals to initiate such discussions.
  • [MeSH-major] Advance Care Planning. Attitude to Death. Neoplasms / psychology. Patient Preference. Terminal Care / psychology

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  • (PMID = 21352620.001).
  • [ISSN] 1478-9523
  • [Journal-full-title] Palliative & supportive care
  • [ISO-abbreviation] Palliat Support Care
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
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39. ||||||||.. 77%  Heffner JE: Advance care planning in chronic obstructive pulmonary disease: barriers and opportunities. Curr Opin Pulm Med; 2011 Mar;17(2):103-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning in chronic obstructive pulmonary disease: barriers and opportunities.
  • PURPOSE OF REVIEW: Experts in palliative care have increasingly recognized the global epidemic of chronic obstructive pulmonary disease (COPD), its astonishing rise in prevalence, and its profound impact on patients' quality of life and functional capacity.
  • Unfortunately, patients with COPD receive less advance care planning (ACP) and palliative care as compared with patients with other diseases with similar prognoses.
  • This review highlights recent advances in identifying barriers to ACP and opportunities for providing more effective and timely palliative care.
  • Disease-directed care provides only partial relief from dyspnea, which eventually becomes refractory and requires transition to palliative care.
  • Throughout all stages of COPD, however, integrating palliative care with disease-directed treatments improves patients' well being and functional capacities.
  • Because of the unique disease trajectory of COPD, professional groups have proposed new models for palliative care specifically tailored to COPD.
  • SUMMARY: Patients with COPD benefit from better integration of palliative and disease-specific care throughout the course of their disease from diagnosis to death.
  • Pulmonary rehabilitation may provide a platform for coordinating integrated care.
  • Health agencies will increasingly expect better coordination of services for patients with this progressive, disabling, and eventually terminal disease.
  • [MeSH-major] Advance Care Planning. Palliative Care. Pulmonary Disease, Chronic Obstructive / therapy


40. ||||||||.. 77%  Cohen A, Nirenberg A: Current practices in advance care planning: implications for oncology nurses. Clin J Oncol Nurs; 2011 Oct;15(5):547-53
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Current practices in advance care planning: implications for oncology nurses.
  • Discussions regarding advance care planning (ACP) among patients with cancer and their physicians largely are not happening.
  • Many patients with cancer, even those at the end of life (EOL), have not established an advance directive (AD).
  • Lack of EOL discussions and receipt of aggressive care at the EOL have resulted in poor health outcomes for patients.
  • In contrast, EOL discussions and early palliative care resulted in positive health outcomes for patients with cancer.
  • [MeSH-major] Advance Care Planning. Neoplasms / therapy. Oncology Nursing. Physician's Practice Patterns

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  • (PMID = 21951741.001).
  • [ISSN] 1538-067X
  • [Journal-full-title] Clinical journal of oncology nursing
  • [ISO-abbreviation] Clin J Oncol Nurs
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't; Review
  • [Publication-country] United States
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41. ||||||||.. 77%  Kataoka-Yahiro MR, Conde FA, Wong RS, Page V, Peller B: Advance care planning among Asian Americans and Native Hawaiians receiving haemodialysis. Int J Palliat Nurs; 2010 Jan;16(1):32-40
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advance care planning among Asian Americans and Native Hawaiians receiving haemodialysis.
  • AIM: To explore the attitudes about death and dying, advance care planning (ACP), and completion of ACP among Asian Americans (AAs) and Native Hawaiians (NHs) receiving haemodialysis.
  • Aspects of ACP, such as planning a funeral service, getting finances in order, and completing the will were important.
  • CONCLUSIONS: The main conclusions drawn from this study are that there is a need for ACP and secondly that AAs and NHs would prefer to discuss ACP with family members rather than health or legal professionals.
  • [MeSH-major] Advance Care Planning. Asian Americans. Attitude to Death. Renal Dialysis

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  • (PMID = 20090661.001).
  • [ISSN] 1357-6321
  • [Journal-full-title] International journal of palliative nursing
  • [ISO-abbreviation] Int J Palliat Nurs
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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42. ||||||||.. 76%  Hu WY, Yang CL: [Truth telling and advance care planning at the end of life]. Hu Li Za Zhi; 2009 Feb;56(1):23-8
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  • [Title] [Truth telling and advance care planning at the end of life].
  • One of the core values in terminal care the respect of patient 'autonomy'.
  • This essay begins with a discussion of medical ethics principles and the Natural Death Act in Taiwan and then summarizes two medical ethical dilemmas, truth telling and advance care planning (ACP), faced in the development of hospice and palliative care in Taiwan.
  • The terminal truth telling process incorporates the four basic principles of Assessment and preparation, Communication with family, Truth-telling process, and Support and follow up (the so-called "ACTs").
  • Promoting patient autonomy by providing the opportunity of a good death is an important goal of truth telling and ACP in which patients have opportunities to choose their terminal treatment.
  • [MeSH-major] Advance Care Planning. Terminal Care. Truth Disclosure

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  • (PMID = 19221997.001).
  • [ISSN] 0047-262X
  • [Journal-full-title] Hu li za zhi The journal of nursing
  • [ISO-abbreviation] Hu Li Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] China (Republic : 1949- )
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43. ||||||||.. 76%  Carr D: Racial and ethnic differences in advance care planning: identifying subgroup patterns and obstacles. J Aging Health; 2012 Sep;24(6):923-47
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Racial and ethnic differences in advance care planning: identifying subgroup patterns and obstacles.
  • OBJECTIVE: The author investigated (a) whether Whites, Blacks, Latinos, and Asians differ in their rates of advance care planning (ACP; that is, living will, health care proxies, discussions), (b) sources of within-racial group heterogeneity, and (c) racial differences in the explanations offered for not doing ACP.
  • Each group noted distinctive obstacles to planning.
  • DISCUSSION: Public policies should target increasing rates of ACP for all adults prior to onset of major health concerns.
  • [MeSH-major] Advance Care Planning / statistics & numerical data. African Americans / statistics & numerical data. Asian Americans / statistics & numerical data. European Continental Ancestry Group / statistics & numerical data. Hispanic Americans / statistics & numerical data

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  • (PMID = 22740168.001).
  • [ISSN] 1552-6887
  • [Journal-full-title] Journal of aging and health
  • [ISO-abbreviation] J Aging Health
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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44. ||||||||.. 76%  Baughman KR, Aultman JM, Ludwick R, O'Neill A: Narrative analysis of the ethics in providing advance care planning. Nurs Ethics; 2014 Feb;21(1):53-63
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Narrative analysis of the ethics in providing advance care planning.
  • Our objective was to better understand the values and ethical dilemmas surrounding advance care planning through stories told by registered nurses and licensed social workers, who were employed as care managers within Area Agencies on Aging.
  • We conducted eight focus groups in which care managers were invited to tell their stories and answer open-ended questions focusing on their interactions with consumers receiving home-based long-term care.

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  • (PMID = 23702895.001).
  • [ISSN] 1477-0989
  • [Journal-full-title] Nursing ethics
  • [ISO-abbreviation] Nurs Ethics
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Keywords] NOTNLM ; Advance care planning / care managers / end-of-life decisions / ethical dilemmas / narrative analysis / registered nurses / social workers
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45. ||||||||.. 76%  Janssen DJ, Spruit MA, Schols JM, van der Sande FM, Frenken LA, Wouters EF: Insight into advance care planning for patients on dialysis. J Pain Symptom Manage; 2013 Jan;45(1):104-13
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  • [Title] Insight into advance care planning for patients on dialysis.
  • CONTEXT: Advance care planning is not included in regular clinical care for patients on dialysis.
  • Insight into life-sustaining treatment preferences and communication about end-of-life care is necessary to develop interventions to improve advance care planning for patients on dialysis.
  • OBJECTIVES: This cross-sectional observational study aimed to understand the preferences for life-sustaining treatments of outpatients on dialysis and to study the quality of patient-physician communication about end-of-life care and barriers and facilitators to this communication.
  • METHODS: The following outcomes were assessed in 80 clinically stable dialysis patients: demographics, clinical characteristics, life-sustaining treatment preferences (cardiopulmonary resuscitation and mechanical ventilation, and Willingness to Accept Life-Sustaining Treatment instrument), preference for site of death, quality of communication (Quality of Communication Questionnaire), and barriers and facilitators to communication about end-of-life care (Barriers and Facilitators Questionnaire).
  • Quality of the patient-physician communication about end-of-life care was rated poor.
  • This study identified several barriers and facilitators to end-of-life care communication.
  • Quality of patient-physician communication about end-of-life care needs to improve.
  • Barriers and facilitators to communication about end-of-life care provide direction for future interventions to facilitate advance care planning for patients on dialysis.
  • [MeSH-major] Advance Care Planning. Advance Directives. Dialysis. Physician-Patient Relations. Terminal Care

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  • [Copyright] Copyright © 2013 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
  • (PMID = 22841410.001).
  • [ISSN] 1873-6513
  • [Journal-full-title] Journal of pain and symptom management
  • [ISO-abbreviation] J Pain Symptom Manage
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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46. ||||||||.. 76%  Collins M, Lehane E: Perspectives on death, dying and advance care planning from patients receiving haemodialysis. J Ren Care; 2013 Mar;39(1):5-11
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Perspectives on death, dying and advance care planning from patients receiving haemodialysis.
  • BACKGROUND: The illness trajectory of End Stage Kidney Disease (ESKD) is not linear therefore it can be difficult for practitioners to know when end-of-life care begins.
  • Advance care planning (ACP) allows patients to take part in decision making, however much of the research conducted stems from North America and Canada where individuals have experience of ACP.
  • CONCLUSION: This study provides an insight into what is important to patients in relation to death, dying and advance care planning.
  • [MeSH-major] Advance Care Planning. Attitude to Death. Decision Making. Kidney Failure, Chronic / nursing. Kidney Failure, Chronic / psychology. Renal Dialysis / nursing. Renal Dialysis / psychology. Sick Role
  • [MeSH-minor] Aged. Aged, 80 and over. Cross-Cultural Comparison. Female. Humans. Ireland. Life Support Care / psychology. Male. Middle Aged. Palliative Care. Questionnaires

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  • [Copyright] © 2013 European Dialysis and Transplant Nurses Association/European Renal Care Association.
  • (PMID = 23432739.001).
  • [ISSN] 1755-6686
  • [Journal-full-title] Journal of renal care
  • [ISO-abbreviation] J Ren Care
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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47. ||||||||.. 76%  Daaleman TP, Williams CS, Preisser JS, Sloane PD, Biola H, Zimmerman S: Advance care planning in nursing homes and assisted living communities. J Am Med Dir Assoc; 2009 May;10(4):243-51
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  • [Title] Advance care planning in nursing homes and assisted living communities.
  • OBJECTIVES: To determine the prevalence and characteristics of advance care planning (ACP) among persons dying in long-term care (LTC) facilities, and to examine the relationship between respondent, facility, decedent, and family characteristics and ACP.
  • DESIGN: After-death interviews of family members of decedents and facility liaisons where decedents received care.
  • SETTING: Stratified sample of 164 residential care/assisted living facilities and nursing homes in Florida, Maryland, New Jersey, and North Carolina.
  • MEASUREMENTS: Reports of death/dying discussions, known treatment preferences, and reports and records of signed living wills (LW), health care powers of attorney (HCPOA), do-not-resuscitate orders, and do-not-hospitalize orders.
  • [MeSH-major] Advance Care Planning / statistics & numerical data. Assisted Living Facilities. Nursing Homes

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  • (PMID = 19426940.001).
  • [ISSN] 1538-9375
  • [Journal-full-title] Journal of the American Medical Directors Association
  • [ISO-abbreviation] J Am Med Dir Assoc
  • [Language] eng
  • [Grant] United States / NIA NIH HHS / AG / K02 AG000970; United States / NIA NIH HHS / AG / K02 AG000970-05; United States / NIA NIH HHS / AG / K02 AG00970; United States / NIA NIH HHS / AG / K23 AG001033; United States / NIA NIH HHS / AG / K23 AG001033-05; United States / NIA NIH HHS / AG / R01 AG018967; United States / NIA NIH HHS / AG / R01 AG018967-03; United States / NIA NIH HHS / AG / R01 AG13863
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Other-IDs] NLM/ NIHMS119658; NLM/ PMC2700765
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48. ||||||||.. 76%  Lau B, Kirkpatrick JN, Merchant RM, Perman SM, Abella BS, Gaieski DF, Becker LB, Chiames C, Reitsma AM: Experiences of sudden cardiac arrest survivors regarding prognostication and advance care planning. Resuscitation; 2010 Aug;81(8):982-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Experiences of sudden cardiac arrest survivors regarding prognostication and advance care planning.
  • OBJECTIVE: We sought to better understand SCA survivors' beliefs about complex issues that arise in the immediate post-arrest period and explore advance care planning.
  • (3) use of advance directives (ADs); and (4) perceptions of health and organ donation.
  • While the majority of subjects classified their health as "very good" or "excellent," few subjects were registered organ donors, citing comorbidities and skepticism about future resuscitative efforts as rationale.
  • AD and organ donation discussions may help to provide sensitive care concordant with a patient's wishes.
  • [MeSH-major] Advance Care Planning / organization & administration. Advance Directives. Cardiopulmonary Resuscitation / standards. Heart Arrest / therapy. Quality Assurance, Health Care / methods

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  • [Copyright] Copyright 2010 Elsevier Ireland Ltd. All rights reserved.
  • (PMID = 20435392.001).
  • [ISSN] 1873-1570
  • [Journal-full-title] Resuscitation
  • [ISO-abbreviation] Resuscitation
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Ireland
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49. ||||||||.. 76%  Gott M, Gardiner C, Small N, Payne S, Seamark D, Barnes S, Halpin D, Ruse C: Barriers to advance care planning in chronic obstructive pulmonary disease. Palliat Med; 2009 Oct;23(7):642-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Barriers to advance care planning in chronic obstructive pulmonary disease.
  • The English End of Life Care Strategy promises that all patients with advanced, life limiting illness will have the opportunity to participate in Advance Care Planning (ACP).
  • Five focus groups were held with a total of 39 health care professionals involved in the care of patients with COPD.
  • The findings from this study indicate that, for patients with COPD, significant service improvement is needed before the objective of the End of Life Care Strategy regarding patient participation in end of life decision-making is to be achieved.
  • Consideration also needs to be given to the integration of chronic disease management and end of life care and to developing definitions of end of life care that fit with concepts of 'continuous palliation'.
  • [MeSH-major] Advance Care Planning. Palliative Care / psychology. Patient Education as Topic. Pulmonary Disease, Chronic Obstructive / therapy. Quality of Life
  • [MeSH-minor] Adult. England / epidemiology. Female. Focus Groups. Humans. Male. Qualitative Research. Questionnaires. Terminal Care. Uncertainty


50. ||||||||.. 76%  Scott IA, Mitchell GK, Reymond EJ, Daly MP: Difficult but necessary conversations--the case for advance care planning. Med J Aust; 2013 Nov 18;199(10):662-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Difficult but necessary conversations--the case for advance care planning.
  • Many patients at the end of life receive care that is inappropriate or futile and, if given the opportunity to discuss their care preferences well ahead of death, may well have chosen to forgo such care.
  • Advance care planning (ACP) is a process of making decisions about future health care for patients in consultation with clinicians, family members and important others, and to safeguard such decisions if patients were to lose decisional capacity.
  • The chief barriers have been social and personal taboos about discussing the dying process, avoidance by medical professionals of responsibility for initiating, coordinating and documenting discussions about ACP, absence of robust and standardised procedures for recording and retrieving ACP documents across multiple care settings, and legal and ethical concerns about the validity of such documents.
  • For ACP to become part of mainstream patient-centred care, accountable clinicians working in primary care, hospitals and nursing homes must effectively educate colleagues and patients about the purpose and mechanics of ACP, mandate ACP for all eligible patients, document ACP in accessible formats that enable patient wishes to accurately guide clinical management, devise methods for reviewing ACP decisions when clinically appropriate, and evaluate congruence between expressed patient wishes and actual care received.
  • Public awareness campaigns coupled with implementation of ACP programs sponsored by collaborations between hospital and health services, Medicare locals and residential care facilities will be needed in making system-wide ACP a reality.
  • [MeSH-major] Advance Care Planning. Patient Acceptance of Health Care. Professional-Patient Relations
  • [MeSH-minor] Australia. Consumer Health Information. Humans. Patient Education as Topic. Professional-Family Relations

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  • (PMID = 24237095.001).
  • [ISSN] 1326-5377
  • [Journal-full-title] The Medical journal of Australia
  • [ISO-abbreviation] Med. J. Aust.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Australia
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