Advance end-of-life healthcare planning in an acute NHS hospital setting; development and evaluation of the Expression of Healthcare Preferences (EHP) document.
Age Ageing
; 38(1): 81-5, 2009 Jan.
Article
em En
| MEDLINE
| ID: mdl-19029089
ABSTRACT
OBJECTIVE:
design and evaluate a document to enable older inpatients in an NHS hospital to discuss and record end-of-life healthcare preferences.DESIGN:
user and professional collaboration to design the Expression of Healthcare Preferences (EHP). Prospective questionnaire survey and outcome evaluation. SETTING ANDPARTICIPANTS:
inpatients on wards for older adults in a London NHS Hospital Trust.RESULTS:
the EHP consists of a form and explanatory booklet. 95 patients (mean age 81, median MMSE 28) received the EHP. 61 (64% (54-74%)) read the EHP and 29 (48% (35-61%)) of these recorded their healthcare preferences in the EHP form. The form prompted end-of-life care discussions between 43% (30-57%) of these patients and medical staff and between 52 (38-65) of these patients and "those close to them". The EHP was highly rated on a score of 1 to 10 it was thought to be helpful (median score 8), interesting (8), informative (8) and reassuring (7) but not upsetting (1).CONCLUSION:
the EHP is an end-of-life advance healthcare planning tool that we have shown can be used to prompt older inpatients to discuss and record their end-of-life healthcare preferences.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Planejamento de Assistência ao Paciente
/
Medicina Estatal
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Inquéritos e Questionários
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Diretivas Antecipadas
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Satisfação do Paciente
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Serviços de Saúde para Idosos
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Reino Unido