Poster Discussion Abstracts最新文献_第5页

PP07.003 Why do some people record place of death preferences and some not? Analysis from an electronic palliative care coordination system 为什么有些人会记录死亡地点而有些人没有呢?来自电子缓和医疗协调系统的分析

Poster Discussion Abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.69

P. McFarlane, K. Sleeman, J. Riley, J. Droney

{"title":"PP07.003 Why do some people record place of death preferences and some not? Analysis from an electronic palliative care coordination system","authors":"P. McFarlane, K. Sleeman, J. Riley, J. Droney","doi":"10.1136/spcare-2023-acp.69","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.69","url":null,"abstract":"BackgroundConsideration and documentation of where individual patients want to die is an important component of advance care planning and helps facilitate care aligned with patients' wishes.AimTo examine factors associated with recording a preferred place of death in Coordinate My Care, a large Electronic Palliative Care Coordination System in London.MethodsAdults with a Coordinate My Care Record, between 01/01/2018 and 05/03/2021 were included. Logistic regression modelling was used to identify clinical, social and demographic factors associated with documenting preference for place of death. Timing of record creation (pre and during the Covid-19 pandemic) was also included.Results72,591 records were analysed (52,006 (71.6%) with a recorded preferred place of death and 20,585 (28.4%) without). Individuals with a recorded preferred place of death were more likely to be older (Aged 80+ compared to <80) OR: 1.19, CI 1.14 – 1.24), less functionally independent (WHO performance status 4 compared to 1, OR: 1.28, CI 1.19 – 1.37), have a ‘Do Not Attempt Cardio-Pulmonary Resuscitation' status (OR: 1.70, CI 1.60 – 1.80), be from least deprived areas (compared to most deprived, OR: 1.08, CI 1.01 – 1.16), live in a care home (OR:1.42, CI 1.35 – 1.50), create their record in the General Practice setting (compared to at an hospital setting OR: 1.42, CI 1.34 – 1.53) and have created their record during the initial wave of the pandemic (compared to pre-pandemic OR: 1.56, CI 1.49 – 1.63).ConclusionsHealth status, living and socio-economic circumstances and the Covid-19 pandemic were associated with whether or not patients had a documented preference for place of death. This has implications for professional training and patient empowerment in terms of having conversations about what matters most to patients at the end of life and how to provide patient centred end-of-life care.","PeriodicalId":20317,"journal":{"name":"Poster Discussion Abstracts","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77349952","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

PP20.005 Identifying factors associated with engagement in future care conversations with trusted others in Ireland: age and gender differences PP20.005确定与爱尔兰可信任的其他人参与未来护理对话相关的因素:年龄和性别差异

Poster Discussion Abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.121

M. Pilch, M. Wards, F. Doyle, S. Thomas, R. Kenny, P. May, Catherine Hayes

引用次数: 0

PP27.001 I think it’s everyone’s conversation really 我想这是每个人的话题

Poster Discussion Abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.66

W. Kinton

引用次数: 0

PP24.002 Understanding moral distress and adaptive responses of healthcare professionals in advance care planning PP24.002了解医疗保健专业人员在预先护理计划中的道德困境和适应性反应

Poster Discussion Abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.126

Jia Ying Tang, C. Yu, Siew Fong Goh, James Alvin Yiew Hock Low, Andy Hau Yan Ho, C. Ng, M. T. Cruz, Roland Chong, Ka Yan Kathleen Cheung, Sumytra Menon, R. Ng

引用次数: 0

PP16.003 Facilitators’ experience and challenges in paediatric setting PP16.003在儿科设置辅导员的经验和挑战

Poster Discussion Abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.97

Yi Yi Wynn

引用次数: 0

PP27.003 Exploring the healthcare providers’ attitude and understanding on advance care planning for cancer patients in Taiwan: a qualitative secondary analysis 探讨台湾地区医疗服务提供者对癌症患者事前照护计划的态度与了解:一项定性二次分析

Poster Discussion Abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.84

H. Chung

引用次数: 0

PP12.002 Why is advance care planning underused in oncology settings? Identifying benefits, barriers, enablers, and interventions to improve uptake PP12.002为什么在肿瘤学环境中没有充分利用预先护理计划?确定益处、障碍、推动因素和干预措施，以提高吸收

Poster Discussion Abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.83

Lisa Guccione, S. Fullerton, K. Gough, Amelia Hyatt, M. Tew, S. Aranda, Jill J. Francis

引用次数: 0

PP01.001 Advance care planning among older adults with a Turkish background and palliative care needs: a qualitative interview study 具有土耳其背景和姑息治疗需求的老年人的预先护理计划:一项定性访谈研究

Poster Discussion Abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.41

H. Demirkapu, L. Van den Block, S. De Maesschalck, Aline De Vleminck, F. Çolak, D. Devroey

引用次数: 0

PP20.002 A simple intervention to increase opportunities for ACP discussion amongst patients in the subacute wards PP20.002一个简单的干预增加亚急性病房患者ACP讨论的机会

Poster Discussion Abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.118

Ivan Declarador, Noe Cangco, B. Azucena

{"title":"PP20.002 A simple intervention to increase opportunities for ACP discussion amongst patients in the subacute wards","authors":"Ivan Declarador, Noe Cangco, B. Azucena","doi":"10.1136/spcare-2023-acp.118","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.118","url":null,"abstract":"BackgroundThere has been increasing focus in improving care for the elderly as the population in Singapore ages. Advance care planning (ACP) is an effective way in improving the quality of life especially in the frail elderly. Review of published literature has shown a large discrepancy in the proportion of elderly patients who are keen to do ACP versus the number of ACP facilitation that is done. One barrier is the lack of opportunity to discuss ACP as there are other competing acute medical issues. Other literature has also shown that increasing frailty and a change in social circumstances such as transitioning to a long-term care facility are common catalysts for initiating ACP discussions.MethodsIn this quality improvement project, we targeted patients under General Medicine who are admitted in the subacute wards. A prompt to ask if ACP is appropriate was added in the screening checklist before the patients are transferred to the subacute wards. All patients who are already admitted in the subacute wards are also screened for frailty and ACP discussion is offered to those who score 7 and above in the Clinical Frailty Score (CFS).We reviewed the number of ACP facilitation in the subacute ward for the period of 2017–2019. We have excluded the numbers after 2019 as the subacute wards were closed during the COVID-19 pandemic.ResultsThe number of ACP facilitations increased from 20 in 2017 to 61 and 73 for 2018 and 2019, respectively. Our experience has shown that the number of ACP discussion has increased significantly and remained sustained after 2 years.ConclusionThe number of ACP facilitation can be improved amongst frail and elderly by increasing the opportunities for ACP discussions. This can be achieved by incorporating simple prompts in existing work processes.","PeriodicalId":20317,"journal":{"name":"Poster Discussion Abstracts","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90172532","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

PP10.002 Improving advance care planning referrals in inpatients admitted to general medical ward PP10.002改善普通病房住院病人的提前护理计划转诊

Poster Discussion Abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.72

Li Anne Cheong

引用次数: 0