Stephanie N Johnson, Karen Mihelich, Theresa R Wyatt
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Implementation of a Dementia-Specific Advance Care Planning Tool at a Program for All-Inclusive Care for the Elderly (PACE): A Quality Improvement Pilot Project.
Purpose: To determine if implementation of a dementia-specific advance care planning (ACP) tool increased knowledge of dementia and decision maker confidence and decreased inappropriate health care utilization rates.
Method: At a Program for All-Inclusive Care for the Elderly, individuals with a cognitive deficit (CD) and their surrogate decision makers (SDMs) were recruited as dyads in an ACP pilot program using a dementia-specific ACP tool. Knowledge was assessed for both dyad members and confidence regarding their role was assessed for SDMs, repeated at 3 months.
Results: Individuals with CD showed no increase in dementia knowledge scores; however, SDMs showed improvement in knowledge and confidence. Health care utilization rates decreased by five visits.
Conclusion: Findings suggest that the terminality of dementia may be misunderstood. Timely implementation of a dementia-specific ACP may resolve ambiguity, allowing for discussion regarding care preferences. [Journal of Gerontological Nursing, 51(7), 43-48.].
期刊介绍：
The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
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