KnE Life Sciences

ISSN: 2413-0877

The latest conference proceedings on life sciences, medicine and pharmacology.

CRITICAL APPRAISAL TOPIC ON PATIENT EDUCATION ON ADVANCE DIRECTIVES IN END-OF-LIFE CARE

Published date: Jan 11 2018

Journal Title: KnE Life Sciences

Issue title: The 1st International Conference on Global Health

Pages: 258-263

DOI: 10.18502/kls.v4i1.1387

Authors:

Renata Komalasarirenata.komalasari@uph.eduLecturer, Faculty of Nursing, Universitas Pelita Harapan

Abstract:

For the past 20 years, physicians, ethicists and lawyers have advised patients with terminal conditions to document their wishes in advance, using advance directives (ADs). Completion rates for ADs increased when information was given to participants in advance of their admission. However, despite efforts to educate patients about ADs, completion rates of ADs were still low. Reviewing the current evidence on effectiveness of patient education on ADs in increasing ADs completion rates in patient in end-of-life care. Literature search of studies evaluated various ways of patient education on ADs by searching CINAHL, MEDLINE, Scopus and PubMed using key words ‘patient education’, ‘health education’, ‘advance directives’ or ‘living will’ or ‘durable power of attorney’ or ‘proxy’ and ‘increased completion rates and cancer or end-of-life care’. Literature search was limited to articles in English. The different ways of patient education showed different level of effectiveness in increasing ADs completion. Further studies are warranted in examining the many kinds of patient education in different settings to screen for and determine the most effective one.

References:

[1] Allen, R.S., DeLaine, S.R., Chaplin, W.F., Marson, D.C. Bourgeois, M.S., Dijkstra, K., et al. (1993). Advance care planning in nursing homes: Correlates of capacity and possession of advance directives. Gerontologist, 43(3): 309-317.

[2] Brown, J.B., Beck, A., Boles, M., Barrett, P. (1999). Practical methods to increase use of advance medical directives. J Gen Inern Med,14: 21-26.

[3] Conelius, J. (2010). A literature review: Advance directives and patients with implantable cardioverter defibrillators. Journal of the American Academy of Nurse Practitioners, 22: 250–255.

[4] Crombie, I.K. (1996). The pocket guide to critical appraisal. London: BMJ Publishing.

[5] Dipko, L.R., Xavier, K., Kohlwes, R.J. (2003). Advance directives group education in a VA outpatient clinic. Social Work in Health Care, 38(2): 93-106.

[6] Ho, V.W.K, Thiel, H.R., Singer, P.A. (2000). The effect of advance care planning on completion of advance directives and patient satisfaction in people with HIV/AIDS. AIDS CARE, 12(1). 97-108.

[7] Jacobson, J., White, B., Battin, M., Francis, L., Green, D., & Kasworm, E. (1994). Patients’ understanding and use of advance directives. Western Journal of Medicine, 160: 232-236.

[8] Matsui, M. (2007). Perspectives of elderly people on advance directives in Japan. Journal of Nursing Scholarship, 39(2), 172-176.

[9] Medvene, L.J., Wescott, J.V., Huckstadt, A., Ludium, J., Langel, S., Mick, K., Patrick, R., Base, M. (2003). Promoting signing of advance directives in faith communities. J Gen Intern Med, 18: 914-920.

[10] Public Health Resource Unit, England. (2006). Critical Appraisal Skils Programme (CASP) 10 questions to help you make sense of randomised controlled trials. Retrieved April 5 from http:www.phru.nhs.uk/Doc_Links/rct%20appraisal%20tool.pdf.

[11] Ramsaroop, S.D., Reid, M.C., Adelman, R.D. (2006). Completing an advance directive in the primary care setting: what do we need for success? American Geriatrics Society, 55(2): 277-283.

Download
HTML
Cite
Share
statistics

243 Abstract Views

277 PDF Downloads