Feasibility of Advance Care Planning in Primary Care for Homeless Adults.
J Aging Health
; 32(7-8): 880-891, 2020.
Article
in En
| MEDLINE
| ID: mdl-31303084
ABSTRACT
Objectives:
As the homeless population ages, it is imperative to improve access to advance care planning (ACP) and document preferences in case medical decision-making capacity is lost.Methods:
We implemented an ACP Project to discuss and document advance care plans with all patients aged 45 and older who received primary care at our adult Homeless Program clinics.Results:
Over 14 months, ACP was discussed with 48% (n = 138) of the population and health care proxy (HCP) appointment with 91% (n = 125) of these patients. Most (62%; n = 77) appointed a HCP from personal relationships, though a significant minority (38%; n = 48) could not and were considered "surrogateless." End-of-life preferences varied. Approximately 20% of patients wanted to defer to a surrogate for each decision.Discussion:
ACP is feasible in primary care for adults who have experienced homelessness and should be incorporated into routine care.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Ill-Housed Persons
/
Advance Care Planning
Type of study:
Prognostic_studies
Aspects:
Determinantes_sociais_saude
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
J Aging Health
Journal subject:
GERIATRIA
Year:
2020
Document type:
Article
Affiliation country:
Estados Unidos