Advanced care planning in care homes for older people: a qualitative study of the views of care staff and families.


OBJECTIVE:to explore views on advance care planning in care homes for older people. DESIGN:qualitative exploration of views from care home staff and the family of residents in care homes for older people. SETTING:all care homes for the elderly in two London Boroughs. PARTICIPANTS:staff (care managers, nurses and care assistants), community nurses and families. METHODS:individual semi-structured interviews. RESULTS:themes of the analysis: (i) BENEFITS:staff and family revealed positive opinions towards advance care planning. Staff felt it provided choice for residents and encouraged better planning. (ii) Barriers: staff and families perceived residents as reluctant to discuss advance care planning. Some care assistants were reluctant to be involved. Furthermore, families and staff reported prevalence of dementia among residents as another barrier. Nurses and care managers identified both family involvement and unforeseen medical circumstances as problematic. (iii) Facilitators: (a) early initiation of discussions (b) family involvement to establish preferences (c) residents and staff being well-known to each other and (d) staff training, were perceived to facilitate ACP. CONCLUSIONS:overall, staff and families support the concept of ACP. Methods to overcome the identified barriers are required to embed ACP within end of life care in care homes.


Age Ageing


Age and ageing


Stewart F,Goddard C,Schiff R,Hall S




Has Abstract


2011-05-01 00:00:00














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    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Sorensen L,Stokes JA,Purdie DM,Woodward M,Roberts MS

    更新日期:2005-11-01 00:00:00

  • Combined resistance and balance-jumping exercise reduces older women's injurious falls and fractures: 5-year follow-up study.

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    pub_type: 杂志文章,随机对照试验


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    更新日期:2015-09-01 00:00:00

  • Associated factors with antipsychotic use in assisted living facilities: a cross-sectional study of 4367 residents.

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    pub_type: 杂志文章


    authors: Larrayadieu A,Abellan van Kan G,Piau A,Soto Martin M,Nourhashemi F,Rolland Y,Vellas B

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    更新日期:2020-02-27 00:00:00

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    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Smith F,Orrell M

    更新日期:2007-11-01 00:00:00

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    pub_type: 杂志文章,随机对照试验


    authors: Hars M,Herrmann FR,Gold G,Rizzoli R,Trombetti A

    更新日期:2014-03-01 00:00:00

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    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: van Leen MW,van der Eijk I,Schols JM

    更新日期:2007-07-01 00:00:00

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    pub_type: 杂志文章,评审


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    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Millard PH

    更新日期:1983-01-01 00:00:00

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    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Hughes JC,Louw SJ

    更新日期:2002-03-01 00:00:00

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    pub_type: 杂志文章


    authors: Friedman PJ,Campbell AJ,Caradoc-Davies TH

    更新日期:1985-05-01 00:00:00

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    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: O'Reilly J,Lowson K,Green J,Young JB,Forster A

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    authors: Linna M,Ahotupa M,Löppönen MK,Irjala K,Vasankari T

    更新日期:2013-01-01 00:00:00

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    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Garraway WM,Akhtar AJ,Gore SM,Prescott RJ,Smith RG

    更新日期:1976-11-01 00:00:00

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    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Milne JS,Chopin JM

    更新日期:1975-08-01 00:00:00

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    pub_type: 杂志文章


    authors: Elmståhl S,Petersson M,Lilja B,Samuelsson SM,Rosén I,Bjunö L

    更新日期:1992-07-01 00:00:00

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    authors: Spyrou A,Natsis KS,Papamichalis E,Mourtzinos H

    更新日期:2019-07-01 00:00:00

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    pub_type: 杂志文章


    authors: Erkinjuntti T,Partinen M,Sulkava R,Palomaki H,Tilvis R

    更新日期:1987-09-01 00:00:00

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    authors: de Zoysa AS,Blessed G

    更新日期:1984-07-01 00:00:00

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    authors: Aw D,Woodrow L,Ogliari G,Harwood R

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    authors: White NJ,Barnes TR

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    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: May H,Murphy S,Khaw KT

    更新日期:1994-05-01 00:00:00

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    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Podger H,Ipe A

    更新日期:2020-04-27 00:00:00

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    journal_title:Age and ageing

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    authors: Jones DA,Peters TJ

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    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Bloomer J,Morley H,Denham MJ,Hodkinson HM

    更新日期:1978-05-01 00:00:00

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    pub_type: 杂志文章,随机对照试验


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    更新日期:2012-09-01 00:00:00

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    pub_type: 临床试验,杂志文章,随机对照试验


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    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Fantin F,Mattocks A,Bulpitt CJ,Banya W,Rajkumar C

    更新日期:2007-01-01 00:00:00