期刊
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
卷 27, 期 5, 页码 306-312出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1049909109355280
关键词
advance care planning; advance directive; living will; end-of-life; bioethics; decision-making; focus group
资金
- NIH/NINR [R21 NR-08539-01]
Background: Advance care planning (ACP) is an underutilized process that involves thinking about what kind of life-prolonging medical care one would want should the need arise, identifying a spokesperson, and then communicating these wishes. Objective: To better understand what influences individuals to engage in ACP. Design: Three focus groups using semistructured interactive interviews were conducted with 23 older individuals from 3 diverse populations in central Pennsylvania. Results: Four categories of influences for engaging in ACP were identified: (1) concern for self; (2) concern for others; (3) expectations about the impact of ACP; and (4) anecdotes, stories, and experiences. Conclusions: The motivations for undertaking ACP that we have identified offer health care providers insight into effective strategies for facilitating the process of ACP with their patients.
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