Oral abstracts最新文献

BOS3b.004 Implementing a shared goals of care framework in a large metropolitan hospital in New Zealand BOS3b。004在新西兰一家大城市医院实施共同护理目标框架

Oral abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.20

O. Kiriaev

引用次数: 0

BOS2b.004 Advance care planning- type behaviours in older non-native language speakers in Switzerland BOS2b。004瑞士非母语老年人的提前护理计划型行为

Oral abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.12

Laura Jones, Anca-Cristina Sterie, R. Jox, E. Truchard

引用次数: 0

BOS4c.003 Advance care plans: creation, content and use during wave 1 of the COVID-19 pandemic BOS4c。003预先护理计划:在COVID-19大流行第一波期间的创建、内容和使用

Oral abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.31

P. McFarlane, Catey Bunce, K. Sleeman, M. Orlovic, J. Koffman, J. Rosling, A. Bearne, M. Powell, J. Riley, J. Droney

{"title":"BOS4c.003 Advance care plans: creation, content and use during wave 1 of the COVID-19 pandemic","authors":"P. McFarlane, Catey Bunce, K. Sleeman, M. Orlovic, J. Koffman, J. Rosling, A. Bearne, M. Powell, J. Riley, J. Droney","doi":"10.1136/spcare-2023-acp.31","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.31","url":null,"abstract":"BackgroundMortality forecasts associated with COVID-19 stressed a need to prepare adults with advanced disease for possible severe illness and engage with Advance Care Planning (ACP). We aimed to examine ACP engagement and activity during the COVID-19 pandemic.MethodsA retrospective cohort study, comparing the creation, content and use of Coordinate My Care (CMC) records in London prior to and during the onset of COVID-19. Records for people aged 18+, created and published in pre-pandemic period (2018–2019) and ‘wave 1' (W1) of COVID-19 (20/03/20–04/07/20) were extracted. Demographics, ACP-related content and the use of CMC records created were analysed and compared using descriptive statistics.Results56,343 records were included, 35,108 from the pre-pandemic period and 21,235 records from W1. The average records created each week rose by 296.9% (P<0.005) in W1. There were fewer records in W1 for those aged 80 years (60.8% vs 64.9% pre-pandemic, P<0.005) and who had WHO performance status 4 (34.8% vs 44.2% pre pandemic, P<0.005). More people who created records during W1 had an estimated prognosis of 1 year+ (73.3% vs 53.0% pre-pandemic, P<0.005), were ‘For Resuscitation' (38.2% vs 29.8% pre-pandemic, P<0.005) and had a Treatment Ceiling of ‘Full Active Treatment' (32.4% vs 25.7%, P<0.005). More people in W1 listed hospital as their preferred place of care (PPC) and preferred place of death (PPD) (PPC: 13.3% vs 5.8% pre-pandemic, P<0.005. PPD: 14.0% vs 7.9%, P<0.005). Average monthly non-urgent and urgent record views rose by 320.3% (P=0.02) and 154.3% (P=0.01) in W1.ConclusionsA large uptake in engagement with ACP is demonstrated during the 1st wave of the pandemic. An increase in use among younger, more independent patients with longer prognoses, with a higher preference for hospital care creating records in W1 compared to before the pandemic, suggests heightened awareness and provision of ACP at this time.","PeriodicalId":19692,"journal":{"name":"Oral abstracts","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86531010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

BOS2b.003 Developing a culturally appropriate advance care planning program in long-term care facilities in China: stakeholder theory of change workshops BOS2b。003在中国长期护理机构中制定文化上合适的预先护理计划:利益相关者变革理论研讨会

Oral abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.11

Yuxin Zhou, Ariel Wang, C. Ellis-Smith, D. Braybrook, Haixia Feng, Richard Harding

引用次数: 0

BOS3c.004 Effectiveness of a complex advance care planning intervention focusing on nursing home residents: first results of the cluster-randomized controlled BEVOR-trial BOS3c。[4]针对养老院居民的复杂预先护理计划干预的有效性:集群随机对照bevor试验的初步结果

Oral abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.24

K. Götze, B. Feddersen, E. Hummers, G. Marckmann, F. Nauck, J. Schildmann, A. Zapf, J. in der Schmitten

{"title":"BOS3c.004 Effectiveness of a complex advance care planning intervention focusing on nursing home residents: first results of the cluster-randomized controlled BEVOR-trial","authors":"K. Götze, B. Feddersen, E. Hummers, G. Marckmann, F. Nauck, J. Schildmann, A. Zapf, J. in der Schmitten","doi":"10.1136/spcare-2023-acp.24","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.24","url":null,"abstract":"BackgroundFew trials on advance care planning (ACP) have investigated the clinical effect on care consistency with care preferences (3CP) in the nursing home (NH) setting.MethodsBEVOR is a multi-centre, cluster-randomized controlled trial aimed to improve 3CP in NH residents (09/2019–02/2023). A total of 44 NHs from 4 German regions were randomized either to the control group (n=24) or the intervention group (n=24). The complex ACP intervention comprised the offer to lead ACP conversations with qualified facilitators on the individual (resident) level and offers for organizational development and staff education on the institutional (NH) level. Educational ACP modules were offered to emergency medical services, hospitals and other regional players relevant for these residents' medical care.After a run-in phase of the intervention, which was extended due to the Covid19-pandemic from originally 9 to (up to) 18 months, the observation period was 12 months from September 2021 to August 2022. Primary outcome was defined as hospitalization rate, understood as a surrogate parameter for 3CP, collected as anonymous data from all residents of the participating NHs. Main secondary outcome is 3CP, taken from a subset of 892 residents (20.5%) who gave informed consent. To measure 3CP, treatment decisions in potentially life-threatening events (‘care delivered') were identified retrospectively every 3 months from the NH records. Correspondingly, ‘care preferences' were assessed retrospectively, integrating data from residents' files and interviews with residents, proxies and nurses, also taking into account the effected level of shared decision making. Analysis of the primary outcome follows the intention-to-treat principle.ResultsThe main outcomes will be available by the time of the acp-i conference.ConclusionResults of the BEVOR trial will give insights into possible clinical effects of a complex regional ACP intervention.","PeriodicalId":19692,"journal":{"name":"Oral abstracts","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82404502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

BOS5c.003 FACE-rare: a novel palliative care intervention for family caregivers of children living with a rare disease BOS5c。FACE-rare:一种针对患有罕见疾病儿童的家庭照顾者的新型姑息治疗干预

Oral abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.39

Maureen Lyon, Kathryn Detwiler, C. Torres, M. Guerrera, Jessica D. Thompkins

引用次数: 0

BOS1b.003 My life choices project – attitudes and perceptions on advance care planning among Chinese-speaking older Australians living in Sydney BOS1b。003我的生活选择项目——居住在悉尼的讲中文的澳大利亚老年人对预先护理计划的态度和看法

Oral abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.3

L. Yeoh, J. Rhee, Benja-min Tan, C. Sinclair

引用次数: 0

BOS1b.002 Japanese nurse’s perspectives about death and dying and end of life decision making BOS1b。日本护士对死亡、临终和临终决定的看法

Oral abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.2

Yumi Naito, A. De Bellis, C. Phillips