Feasibility and acceptability of advance care planning in elderly Italian and Greek speaking patients as compared to English-speaking patients: an Australian cross-sectional study

BMJ Open
Karen M DeteringKathryn Whiteside

Abstract

To assess the feasibility and acceptability of facilitated advance care planning (ACP) discussions in elderly Italian and Greek-speaking inpatients compared to English-speaking inpatients. This cross-sectional study with convenience sampling was conducted in Melbourne, Australia, and recruited hospital inpatients with medical decision-making capacity, aged 65 years or above, who spoke Greek (25 patients), Italian (24 patients) or English (63 patients). Facilitated ACP was offered, aiming to assists patients to consider and discuss their goals, values, beliefs and future treatment wishes with their family and doctor; to help them consider how they would like healthcare decisions made in the future if they become unable to do this for themselves; and to complete advance care directives. The completion of ACP discussions, their duration, advance care directive completion and utilisation of interpreters. Of 112 patients, 109 (97%) had at least one discussion, 63 (54%) completed advance care directives, either nominating a substitute decision-maker, documenting their wishes or both, and 76 (68%) included family in discussions. The median duration of discussions for all patients was slightly more than 1 h, over two visits. There were...Continue Reading

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Citations

Jan 26, 2016·Current Opinion in Supportive and Palliative Care·Patricia M DavidsonDavid C Currow
Apr 13, 2018·Anesthesia and Analgesia·Federica StrettiGiovanna Brandi
May 26, 2017·Journal of Clinical Nursing·Sok Shin YapScott A Fraser
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Aug 18, 2020·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Craig SinclairLinda Nolte
Jan 2, 2021·Journal of Pain and Symptom Management·Hakki DemirkapuDirk Devroey

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