Details

Autor(en) / Beteiligte

• Hisamune, M.
• Shimonishi, M.
• Matsui, M.

Titel

PROMOTING ADVANCE CARE PLANNING IN COPD

Ist Teil von

• Innovation in aging, 2017-07, Vol.1 (suppl_1), p.160-160

Ort / Verlag

US: Oxford University Press

Erscheinungsjahr

2017

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• Purpose: Chronic Obstructive Pulmonary Disease (COPD) is one of the few causes of mortality and COPD patients are increasing especially aged 75 years and older in Japan. Advance care planning (ACP), which involves patients-provider communication about end-of-life care, is important for COPD patients to promote end-of-life discussion. This study reviewed completion rates of advance directives (AD) and related factors to ACP discussion in COPD patients. Methods: A systematic review was conducted searching of PubMed and CINAHL from 1992 to 30 June 2016. Keywords such as “Chronic Obstructive Pulmonary Disease (COPD)”, “advance care planning”, “advance directives”, “completion”, “factors”, and “predictors” were used to select the articles. Abstracts of the search results were reviewed according to inclusion criteria which described completion rates of AD and factors related to ACP process. Results: Ten articles were included for the review regarding the study purpose. Qualitative research design was used 5 studies of 10. Completion rates of AD were from 17% to 61%. A study of outpatient palliative care program for COPD reported that documented advance care plan at the initial appointment 0% changed 61% at follow-up. A multicenter, prospective, longitudinal study showed preferences regarding CPR or MV changed in 38.3% of the patients during the follow-up period, and related factors were generic health status, mobility, symptoms of anxiety and depression. Conclusion: AD Completion rates and factors related to ACP process were well-not examined in COPD. Professional support to COPD patients is important, therefore, respiratory practitioners must choose the right time to promote ACP discussion.