Thesis / Dissertation

Implementation and evaluation of Goals of Patient Care medical treatment orders in residential aged care facilities: a mixed methods study

Ruth Simone Martin, Wen Kwang Lim (ed.)

Published : 2017

Abstract

Background: Systematic reviews demonstrate that Advance Care Planning has many positive effects for residents of residential aged care facilities, including decreased hospitalisation. The proposed residential aged care facility “Goals of Patient Care” form uses shared decision-making to incorporate a resident’s prior Advance Care Planning into medical treatment orders. Where no written Advance Care Plan exists it captures residents’ known values and preferences. This documentation guides healthcare decision-making at a time of clinical deterioration. Method: A mixed methods study design was used incorporating (i) a cluster randomised controlled trial and (ii) an explanatory descriptive stu..

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