Pub Date : 2023-05-01DOI: 10.1136/spcare-2023-acp.20
O. Kiriaev
{"title":"BOS3b.004 Implementing a shared goals of care framework in a large metropolitan hospital in New Zealand","authors":"O. Kiriaev","doi":"10.1136/spcare-2023-acp.20","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.20","url":null,"abstract":"","PeriodicalId":19692,"journal":{"name":"Oral abstracts","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78599567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1136/spcare-2023-acp.12
Laura Jones, Anca-Cristina Sterie, R. Jox, E. Truchard
{"title":"BOS2b.004 Advance care planning- type behaviours in older non-native language speakers in Switzerland","authors":"Laura Jones, Anca-Cristina Sterie, R. Jox, E. Truchard","doi":"10.1136/spcare-2023-acp.12","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.12","url":null,"abstract":"","PeriodicalId":19692,"journal":{"name":"Oral abstracts","volume":"6 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86419206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1136/spcare-2023-acp.31
P. McFarlane, Catey Bunce, K. Sleeman, M. Orlovic, J. Koffman, J. Rosling, A. Bearne, M. Powell, J. Riley, J. Droney
BackgroundMortality forecasts associated with COVID-19 stressed a need to prepare adults with advanced disease for possible severe illness and engage with Advance Care Planning (ACP). We aimed to examine ACP engagement and activity during the COVID-19 pandemic.MethodsA retrospective cohort study, comparing the creation, content and use of Coordinate My Care (CMC) records in London prior to and during the onset of COVID-19. Records for people aged 18+, created and published in pre-pandemic period (2018–2019) and ‘wave 1' (W1) of COVID-19 (20/03/20–04/07/20) were extracted. Demographics, ACP-related content and the use of CMC records created were analysed and compared using descriptive statistics.Results56,343 records were included, 35,108 from the pre-pandemic period and 21,235 records from W1. The average records created each week rose by 296.9% (P<0.005) in W1. There were fewer records in W1 for those aged 80 years (60.8% vs 64.9% pre-pandemic, P<0.005) and who had WHO performance status 4 (34.8% vs 44.2% pre pandemic, P<0.005). More people who created records during W1 had an estimated prognosis of 1 year+ (73.3% vs 53.0% pre-pandemic, P<0.005), were ‘For Resuscitation' (38.2% vs 29.8% pre-pandemic, P<0.005) and had a Treatment Ceiling of ‘Full Active Treatment' (32.4% vs 25.7%, P<0.005). More people in W1 listed hospital as their preferred place of care (PPC) and preferred place of death (PPD) (PPC: 13.3% vs 5.8% pre-pandemic, P<0.005. PPD: 14.0% vs 7.9%, P<0.005). Average monthly non-urgent and urgent record views rose by 320.3% (P=0.02) and 154.3% (P=0.01) in W1.ConclusionsA large uptake in engagement with ACP is demonstrated during the 1st wave of the pandemic. An increase in use among younger, more independent patients with longer prognoses, with a higher preference for hospital care creating records in W1 compared to before the pandemic, suggests heightened awareness and provision of ACP at this time.
背景:与COVID-19相关的死亡率预测强调，有必要让患有晚期疾病的成年人为可能的严重疾病做好准备，并参与预先护理计划(ACP)。我们的目的是检查ACP在COVID-19大流行期间的参与和活动。方法采用回顾性队列研究，比较伦敦地区在COVID-19发病前和发病期间CMC记录的创建、内容和使用情况。提取了在大流行前(2018-2019)和COVID-19“第一波”(20/03/20-04/07/20)创建和发布的18岁以上人群的记录。使用描述性统计分析和比较人口统计、非加太相关内容和CMC记录的使用情况。结果共纳入记录56,343份，其中大流行前记录35,108份，W1记录21,235份。W1周平均记录数上升296.9% (P<0.005)。80岁老人(60.8% vs .大流行前的64.9%，P<0.005)和具有who绩效等级4的人(34.8% vs .大流行前的44.2%，P<0.005)的W1记录较少。在W1期间创造记录的更多患者的估计预后为1年以上(73.3%比大流行前的53.0%，P<0.005)，“复苏”(38.2%比大流行前的29.8%，P<0.005)，治疗上限为“充分积极治疗”(32.4%比25.7%，P<0.005)。W1中更多的人将医院列为首选护理地点(PPC)和首选死亡地点(PPD) (PPC: 13.3% vs大流行前的5.8%，P<0.005。PPD: 14.0% vs 7.9%， P<0.005)。W1的月平均非紧急和紧急记录浏览量分别上升了320.3% (P=0.02)和154.3% (P=0.01)。结论在流感大流行的第一波期间，ACP得到了大量应用。与大流行之前相比，更年轻、更独立、预后较长的患者使用ACP的情况有所增加，更倾向于在W1中创建医院护理记录，这表明目前ACP的认识和提供得到了提高。
{"title":"BOS4c.003 Advance care plans: creation, content and use during wave 1 of the COVID-19 pandemic","authors":"P. McFarlane, Catey Bunce, K. Sleeman, M. Orlovic, J. Koffman, J. Rosling, A. Bearne, M. Powell, J. Riley, J. Droney","doi":"10.1136/spcare-2023-acp.31","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.31","url":null,"abstract":"BackgroundMortality forecasts associated with COVID-19 stressed a need to prepare adults with advanced disease for possible severe illness and engage with Advance Care Planning (ACP). We aimed to examine ACP engagement and activity during the COVID-19 pandemic.MethodsA retrospective cohort study, comparing the creation, content and use of Coordinate My Care (CMC) records in London prior to and during the onset of COVID-19. Records for people aged 18+, created and published in pre-pandemic period (2018–2019) and ‘wave 1' (W1) of COVID-19 (20/03/20–04/07/20) were extracted. Demographics, ACP-related content and the use of CMC records created were analysed and compared using descriptive statistics.Results56,343 records were included, 35,108 from the pre-pandemic period and 21,235 records from W1. The average records created each week rose by 296.9% (P<0.005) in W1. There were fewer records in W1 for those aged 80 years (60.8% vs 64.9% pre-pandemic, P<0.005) and who had WHO performance status 4 (34.8% vs 44.2% pre pandemic, P<0.005). More people who created records during W1 had an estimated prognosis of 1 year+ (73.3% vs 53.0% pre-pandemic, P<0.005), were ‘For Resuscitation' (38.2% vs 29.8% pre-pandemic, P<0.005) and had a Treatment Ceiling of ‘Full Active Treatment' (32.4% vs 25.7%, P<0.005). More people in W1 listed hospital as their preferred place of care (PPC) and preferred place of death (PPD) (PPC: 13.3% vs 5.8% pre-pandemic, P<0.005. PPD: 14.0% vs 7.9%, P<0.005). Average monthly non-urgent and urgent record views rose by 320.3% (P=0.02) and 154.3% (P=0.01) in W1.ConclusionsA large uptake in engagement with ACP is demonstrated during the 1st wave of the pandemic. An increase in use among younger, more independent patients with longer prognoses, with a higher preference for hospital care creating records in W1 compared to before the pandemic, suggests heightened awareness and provision of ACP at this time.","PeriodicalId":19692,"journal":{"name":"Oral abstracts","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86531010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1136/spcare-2023-acp.11
Yuxin Zhou, Ariel Wang, C. Ellis-Smith, D. Braybrook, Haixia Feng, Richard Harding
{"title":"BOS2b.003 Developing a culturally appropriate advance care planning program in long-term care facilities in China: stakeholder theory of change workshops","authors":"Yuxin Zhou, Ariel Wang, C. Ellis-Smith, D. Braybrook, Haixia Feng, Richard Harding","doi":"10.1136/spcare-2023-acp.11","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.11","url":null,"abstract":"","PeriodicalId":19692,"journal":{"name":"Oral abstracts","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90110663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1136/spcare-2023-acp.24
K. Götze, B. Feddersen, E. Hummers, G. Marckmann, F. Nauck, J. Schildmann, A. Zapf, J. in der Schmitten
BackgroundFew trials on advance care planning (ACP) have investigated the clinical effect on care consistency with care preferences (3CP) in the nursing home (NH) setting.MethodsBEVOR is a multi-centre, cluster-randomized controlled trial aimed to improve 3CP in NH residents (09/2019–02/2023). A total of 44 NHs from 4 German regions were randomized either to the control group (n=24) or the intervention group (n=24). The complex ACP intervention comprised the offer to lead ACP conversations with qualified facilitators on the individual (resident) level and offers for organizational development and staff education on the institutional (NH) level. Educational ACP modules were offered to emergency medical services, hospitals and other regional players relevant for these residents' medical care.After a run-in phase of the intervention, which was extended due to the Covid19-pandemic from originally 9 to (up to) 18 months, the observation period was 12 months from September 2021 to August 2022. Primary outcome was defined as hospitalization rate, understood as a surrogate parameter for 3CP, collected as anonymous data from all residents of the participating NHs. Main secondary outcome is 3CP, taken from a subset of 892 residents (20.5%) who gave informed consent. To measure 3CP, treatment decisions in potentially life-threatening events (‘care delivered') were identified retrospectively every 3 months from the NH records. Correspondingly, ‘care preferences' were assessed retrospectively, integrating data from residents' files and interviews with residents, proxies and nurses, also taking into account the effected level of shared decision making. Analysis of the primary outcome follows the intention-to-treat principle.ResultsThe main outcomes will be available by the time of the acp-i conference.ConclusionResults of the BEVOR trial will give insights into possible clinical effects of a complex regional ACP intervention.
{"title":"BOS3c.004 Effectiveness of a complex advance care planning intervention focusing on nursing home residents: first results of the cluster-randomized controlled BEVOR-trial","authors":"K. Götze, B. Feddersen, E. Hummers, G. Marckmann, F. Nauck, J. Schildmann, A. Zapf, J. in der Schmitten","doi":"10.1136/spcare-2023-acp.24","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.24","url":null,"abstract":"BackgroundFew trials on advance care planning (ACP) have investigated the clinical effect on care consistency with care preferences (3CP) in the nursing home (NH) setting.MethodsBEVOR is a multi-centre, cluster-randomized controlled trial aimed to improve 3CP in NH residents (09/2019–02/2023). A total of 44 NHs from 4 German regions were randomized either to the control group (n=24) or the intervention group (n=24). The complex ACP intervention comprised the offer to lead ACP conversations with qualified facilitators on the individual (resident) level and offers for organizational development and staff education on the institutional (NH) level. Educational ACP modules were offered to emergency medical services, hospitals and other regional players relevant for these residents' medical care.After a run-in phase of the intervention, which was extended due to the Covid19-pandemic from originally 9 to (up to) 18 months, the observation period was 12 months from September 2021 to August 2022. Primary outcome was defined as hospitalization rate, understood as a surrogate parameter for 3CP, collected as anonymous data from all residents of the participating NHs. Main secondary outcome is 3CP, taken from a subset of 892 residents (20.5%) who gave informed consent. To measure 3CP, treatment decisions in potentially life-threatening events (‘care delivered') were identified retrospectively every 3 months from the NH records. Correspondingly, ‘care preferences' were assessed retrospectively, integrating data from residents' files and interviews with residents, proxies and nurses, also taking into account the effected level of shared decision making. Analysis of the primary outcome follows the intention-to-treat principle.ResultsThe main outcomes will be available by the time of the acp-i conference.ConclusionResults of the BEVOR trial will give insights into possible clinical effects of a complex regional ACP intervention.","PeriodicalId":19692,"journal":{"name":"Oral abstracts","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82404502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1136/spcare-2023-acp.39
Maureen Lyon, Kathryn Detwiler, C. Torres, M. Guerrera, Jessica D. Thompkins
{"title":"BOS5c.003 FACE-rare: a novel palliative care intervention for family caregivers of children living with a rare disease","authors":"Maureen Lyon, Kathryn Detwiler, C. Torres, M. Guerrera, Jessica D. Thompkins","doi":"10.1136/spcare-2023-acp.39","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.39","url":null,"abstract":"","PeriodicalId":19692,"journal":{"name":"Oral abstracts","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78721699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1136/spcare-2023-acp.3
L. Yeoh, J. Rhee, Benja-min Tan, C. Sinclair
{"title":"BOS1b.003 My life choices project – attitudes and perceptions on advance care planning among Chinese-speaking older Australians living in Sydney","authors":"L. Yeoh, J. Rhee, Benja-min Tan, C. Sinclair","doi":"10.1136/spcare-2023-acp.3","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.3","url":null,"abstract":"","PeriodicalId":19692,"journal":{"name":"Oral abstracts","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76016295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1136/spcare-2023-acp.2
Yumi Naito, A. De Bellis, C. Phillips
{"title":"BOS1b.002 Japanese nurse’s perspectives about death and dying and end of life decision making","authors":"Yumi Naito, A. De Bellis, C. Phillips","doi":"10.1136/spcare-2023-acp.2","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.2","url":null,"abstract":"","PeriodicalId":19692,"journal":{"name":"Oral abstracts","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86006590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1136/spcare-2023-acp.15
M. Pilch, Victoria Lunt, A. Hickey, S. Thomas, Catherine Hayes, B. Kaminiecki, J. Korpak, F. Doyle
{"title":"BOS2c.003 Facilitators and barriers to stakeholder engagement in advance care planning for older adults in community settings: a mixed-research systematic review","authors":"M. Pilch, Victoria Lunt, A. Hickey, S. Thomas, Catherine Hayes, B. Kaminiecki, J. Korpak, F. Doyle","doi":"10.1136/spcare-2023-acp.15","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.15","url":null,"abstract":"","PeriodicalId":19692,"journal":{"name":"Oral abstracts","volume":"141 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77959554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1136/spcare-2023-acp.23
N. Fleuren, M. Depla, D. Janssen, M. Huisman, C. Hertogh
{"title":"BOS3c.003 Practicing advance care planning in nursing homes in the Netherlands: an ethnographic study","authors":"N. Fleuren, M. Depla, D. Janssen, M. Huisman, C. Hertogh","doi":"10.1136/spcare-2023-acp.23","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.23","url":null,"abstract":"","PeriodicalId":19692,"journal":{"name":"Oral abstracts","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88501571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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