"It Gives Me Peace of Mind So I Can Focus on Healing": Views on Advance Care Planning for Older Surgical Patients.
J Palliat Med
; 27(5): 667-674, 2024 May.
Article
en En
| MEDLINE
| ID: mdl-38386513
ABSTRACT
Introduction:
The period of time before an elective operation may be an opportune time to engage older adults in advance care planning (ACP). Past interventions have not been readily incorporated into surgical workflows leaving a need for ACP tools that are generalizable, easy to implement, and effective.Design:
This is a qualitative study. Setting andSubjects:
Older adults with a history of cancer and a recent major operation were recruited through their surgical oncologist at a tertiary medical center in the United States. Interviews were conducted to determine how to adapt the validated PrepareForYourCare.org ACP program with electronic health record prompts for the perioperative setting and openness to introducing ACP during a presurgical visit. We used qualitative content analysis to determine themes.Results:
Eight themes were identified (1) ACP as static and private, (2) people expected a prompt, (3) family trusted to do the "right" thing, (4) lack of relationship or comfort with providers, (5) a team-based approach can be helpful, (6) surgeon's expertise (e.g., prognosis and surgical risk), (7) ACP belongs on the surgical checklist, and (8) patients would welcome a conversation starter.Discussion:
Older surgical patients are interested in engaging with ACP, particularly if prompted, and believe it has a place on the preoperative "checklist."Conclusions:
To effectively engage patients with ACP, a combination of routine prompts by the health care team and patient-centered follow-up may be required.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Investigación Cualitativa
/
Planificación Anticipada de Atención
Límite:
Aged
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Aged80
/
Female
/
Humans
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Male
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Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Palliat Med
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos