{"title":"PP14.006 Functional and socioeconomical status associated with advanced care planning completion","authors":"Tian En Jason Tay, Xiangyi Chen, Z. Yeo, P. Chong","doi":"10.1136/spcare-2023-acp.94","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.94","url":null,"abstract":"","PeriodicalId":20317,"journal":{"name":"Poster Discussion Abstracts","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78974176","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}
Joanne Selva Retnam, Linda Yiu, Adeline Lam, Roland Chong
{"title":"PP18.005 ACP in nursing homes for project RESPECT – intermediate reviews","authors":"Joanne Selva Retnam, Linda Yiu, Adeline Lam, Roland Chong","doi":"10.1136/spcare-2023-acp.103","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.103","url":null,"abstract":"","PeriodicalId":20317,"journal":{"name":"Poster Discussion Abstracts","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87181530","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}
P. McFarlane, K. Sleeman, Catey Bunce, J. Koffman, M. Orlovic, J. Rosling, A. Bearne, M. Powell, J. Riley, J. Droney
{"title":"PP07.002 The impact of advance care planning on place of death during the COVID-19 pandemic","authors":"P. McFarlane, K. Sleeman, Catey Bunce, J. Koffman, M. Orlovic, J. Rosling, A. Bearne, M. Powell, J. Riley, J. Droney","doi":"10.1136/spcare-2023-acp.68","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.68","url":null,"abstract":"BackgroundAt the beginning on the COVID-19 pandemic, advance care planning (ACP) was widely encouraged and endorsed for adults with serious illness to ensure their treatment and care preferences would be honoured, including location of death, often considered a surrogate quality indicator for end-of-life care. Coordinate My Care (CMC) represents the UK's largest Electronic Palliative Care Coordination System that comprises an ACP component.We aimed to examine the impact of ACP on place of death for people who died during the COVID-19 pandemic with a CMC record.MethodsRetrospective cohort analysis of CMC records for people aged over 18 who died between 20/03/20 and 05/03/21 with recorded place of death. Socio-demographic, clinical and ACP-related factors associated with achieving preferred place of death (PPD) were examined using logistic regression.Results11,913 records were included. 76.9% patients died in their preferred place location of death (57.7% Home, 31.4% Care Home, 7.5% Hospice, 3.3% Hospital, 0.1% Other). An increased likelihood of dying in PPD was associated with a ‘Not for resuscitation' (DNACPR) status (OR=1.51, 95% CI 1.17 to 1.93), a Ceiling of Treatment for Symptomatic Treatment (when compared to Full active treatment, OR=3.52, 95% CI 2.77 to 4.50), documented family discussions regarding resuscitation recommendations (OR=1.51, 95% CI 1.33 to 1.72) and 2+ non-urgent care record views in the 30 days before death (OR=1.27, 95% CI 1.13 to 1.43). People from materially deprived areas had a decreased likelihood of dying in their PPD (OR= 0.65, 95% CI 0.54 to 0.79).ConclusionsModifiable elements of ACP significantly influence place of death, even when controlling for socio-economic and demographic determinants. In times of crisis, effective ACP is central to delivering high quality end-of-life care;ACP related factors must be considered in ongoing research on end-of-life outcomes.","PeriodicalId":20317,"journal":{"name":"Poster Discussion Abstracts","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89164445","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}
S. C. Yap, J. Lee, Jia Min Tee, Kuan Yew Yong, Siew Ting Sim, Li Lian Koh, K. Koh, N. Main
{"title":"PP20.003 Increasing referrals for advance care planning discussions in a community hospital setting","authors":"S. C. Yap, J. Lee, Jia Min Tee, Kuan Yew Yong, Siew Ting Sim, Li Lian Koh, K. Koh, N. Main","doi":"10.1136/spcare-2023-acp.119","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.119","url":null,"abstract":"","PeriodicalId":20317,"journal":{"name":"Poster Discussion Abstracts","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75408051","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}
{"title":"PP27.002 The experience of medical social workers from an acute hospital in Singapore in advance care planning conversations","authors":"Zhi Kang Lim, Jingfen Lim, Katrine Lim","doi":"10.1136/spcare-2023-acp.116","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.116","url":null,"abstract":"","PeriodicalId":20317,"journal":{"name":"Poster Discussion Abstracts","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73346277","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}
{"title":"PP10.004 Success factors for implementing advanced care planning for Singapore’s largest home care provider","authors":"Precilla Lai, Charine Chen, Wai Chong Ng","doi":"10.1136/spcare-2023-acp.74","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.74","url":null,"abstract":"","PeriodicalId":20317,"journal":{"name":"Poster Discussion Abstracts","volume":"501 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77342764","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}
{"title":"PP10.005 Barriers to completion of advance care planning in heart failure patients","authors":"Perryn Ng, Sara Ho, N. Chan","doi":"10.1136/spcare-2023-acp.75","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.75","url":null,"abstract":"","PeriodicalId":20317,"journal":{"name":"Poster Discussion Abstracts","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77977681","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}
Ana Rosca, U. Ehlers, I. Karzig, F. Scherff, T. Krones
{"title":"PP05.004 Shared decision-making and advance care planning in patients with aortic stenosis: patient evaluation of an integrative decision aid","authors":"Ana Rosca, U. Ehlers, I. Karzig, F. Scherff, T. Krones","doi":"10.1136/spcare-2023-acp.62","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.62","url":null,"abstract":"","PeriodicalId":20317,"journal":{"name":"Poster Discussion Abstracts","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83719422","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}
{"title":"PP16.001 The experience and challenges of paediatric ACP implementation","authors":"Lee Beng Ang, M. Chan, Mavis Teo","doi":"10.1136/spcare-2023-acp.95","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.95","url":null,"abstract":"","PeriodicalId":20317,"journal":{"name":"Poster Discussion Abstracts","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85383536","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}
{"title":"PP01.002 Psychometric evaluation of the Korean version of advance care planning engagement survey","authors":"Minjeong Jo, Mihyun Park, H. Chung","doi":"10.1136/spcare-2023-acp.42","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.42","url":null,"abstract":"","PeriodicalId":20317,"journal":{"name":"Poster Discussion Abstracts","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87014624","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}