- Title
- Equipping patients for a time of helplessness: an educational intervention
- Creator
- Holliday, Simon
- Relation
- Australian Journal of Rural Health Vol. 17, Issue 5, p. 232-235
- Publisher Link
- http://dx.doi.org/10.1111/j.1440-1584.2009.01083.x
- Publisher
- Wiley-Blackwell Publishing Asia
- Resource Type
- journal article
- Date
- 2009
- Description
- Objectives: Quantify rates of awareness about, and ownership of, End-of-Life Planning (ELP) instruments. Examine whether this rate is increased by brief education during routine team care. Measure the time required by this exercise. Design: Quality Improvement Activity. Setting: General Practice on Mid-North Coast, New South Wales. Participants: Forty-two consecutive, consenting elderly patients undertaking a Home Health Assessment. Main outcome measures: This study assessed rates of ELP instruments at baseline, at 2 weeks, at 2 months and at 2 years following the provision and discussion of a fact sheet while measuring the clinicians' time required. Results: This education exercise increased the number of patients with ELP instruments from one to ten (24%). On average it took 5.6 min of nursing time and 3.9 min for the GP. Conclusions: Brief education during Home Health Assessments may empower patients to prepare for a scenario where they lost competency to make fully informed decisions. This may alleviate patient's fears about causing problems between those close to them and having treatments against their wishes.
- Subject
- Advance Care Directive; competency; consent; End-of-Life Planning; Enduring Guardianship
- Identifier
- http://hdl.handle.net/1959.13/807068
- Identifier
- uon:7289
- Identifier
- ISSN:1038-5282
- Language
- eng
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