Strategies used to facilitate the discussion of advance care planning with older adults in primary care settings: A literature review

Journal of the American Association of Nurse Practitioners
Guillermina R SolisMegan Johnson Shen

Abstract

The purpose of this literature review was to evaluate strategies used in primary care settings to initiate advance care planning (ACP) conversations leading to the completion of an advance directive (AD). Approximately 50% of older adults have an AD; few talk to their primary care provider (PCP) about end-of-life wishes. The Institute of Medicine report and recent changes in Medicare reimbursement policies create opportunities for PCPs to address ACP in primary care settings. We used a systematic review approach. The search included seven Elton B. Stephens Company databases, limited to English language and peer-reviewed publications from 1991 to 2017 using 10 key words. Effective interventions were educational materials using various methods of delivery, computer-generated triggers for PCPs, inclusion of multidisciplinary professionals for content delivery, and patient preparation for PCP visit. The identified strategies provide a starting point for PCPs to consider increasing the ACP discussion with their patients. Primary care providers must create opportunities to meet the needs of their patients and their families. Established guidelines and reimbursement for ACP challenge PCPs to identify and contribute to the formulation ...Continue Reading

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Citations

Oct 1, 2019·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Janet Sopcheck
Jul 23, 2020·The Journal of Nursing Administration·Lisa Simmons-FieldsPatricia Hanson
Oct 15, 2020·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Allysha C Maragh-BassAmy R Knowlton
Apr 13, 2021·Patient Education and Counseling·Mohsen BazarganShervin Assari
Nov 13, 2020·ANS. Advances in Nursing Science·Zahra Rahemi, Tracy Fasolino
Jun 30, 2021·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Minjeong JoJi Yeon Choi
Jul 4, 2021·International Journal of Older People Nursing·Eun-Jun ParkSeok-Jung Kang
Sep 4, 2021·The American Journal of Hospice & Palliative Care·Mohsen BazarganShahrzad Bazargan-Hejazi

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