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Advanced Care Planning in Community ...

Lott, Kristen.

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Advanced Care Planning in Community Dwelling Older Adults.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Advanced Care Planning in Community Dwelling Older Adults./
Author:	Lott, Kristen.
Description:	59 p.
Notes:	Source: Masters Abstracts International, Volume: 53-02.
Contained By:	Masters Abstracts International53-02(E).
Subject:	Health Sciences, Aging. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=1559712
ISBN:	9781321006438

Advanced Care Planning in Community Dwelling Older Adults.
Lott, Kristen.

Advanced Care Planning in Community Dwelling Older Adults. - 59 p.

Source: Masters Abstracts International, Volume: 53-02.

Thesis (M.S.N.)--University of Nevada, Reno, 2014.

There is a growing number of older Americans. This means an increased proportion of people at the end of life. Advanced care planning is significant because it has been shown to decrease costs at the end of life and increased quality of life (Sabino, 2010). Advanced directives such as living wills and durable power of attorney for health care have been used as markers of advance care planning but rates are generally low.

ISBN: 9781321006438Subjects--Topical Terms:

1669845
Health Sciences, Aging.

Advanced Care Planning in Community Dwelling Older Adults.
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020 $a 9781321006438
035 $a (MiAaPQ)AAI1559712
035 $a AAI1559712
040 $a MiAaPQ $c MiAaPQ
100 1 $a Lott, Kristen. $3 2104077
245 1 0 $a Advanced Care Planning in Community Dwelling Older Adults.
300 $a 59 p.
500 $a Source: Masters Abstracts International, Volume: 53-02.
500 $a Adviser: Wei-Chen Tung.
502 $a Thesis (M.S.N.)--University of Nevada, Reno, 2014.
520 $a There is a growing number of older Americans. This means an increased proportion of people at the end of life. Advanced care planning is significant because it has been shown to decrease costs at the end of life and increased quality of life (Sabino, 2010). Advanced directives such as living wills and durable power of attorney for health care have been used as markers of advance care planning but rates are generally low.
520 $a The purpose of this cross-sectional study was to identify the rates of different types of advanced care planning completed by community dwelling older adults including advanced directives and determine if relationships exist between age, sex, health and primary care provider type and completion or discussion of advanced directives. Participants were recruited via convenience and/or snowball sampling from three local communities that provide programs for those over 50. Survey data was analyzed using logistics regression to test associations with level of significance set at < or = 0.05.
520 $a A total of 177 surveys were collected. Rates of advance directive completion for this survey mirrored those of the national average (Predit, 2014). Many people have spoken to their family about advanced care planning (66.7%, n = 118) but doctors were not in the top four responses (19%, n = 35). Those conversations that did occur with the primary care provider were mainly started by the patient (54.3%, n = 19) and tended to last less than 5 minutes (42.9%, n = 15). The data also found a correlation between those who have not talked to anyone about advanced care planning and those who were not married (OR = 352.5, p < 0.0001). Further it found that men were less likely to talk with friends (OR = 0.341, p = 0.015) and family (OR = 0.298, p = 0.0009) about advanced care planning. This study gives important insight into advance care planning discussions and reveals those individuals who are less likely to complete advance care planning discussions.
590 $a School code: 0139.
650 4 $a Health Sciences, Aging. $3 1669845
650 4 $a Health Sciences, Nursing. $3 1017798
650 4 $a Health Sciences, Public Health. $3 1017659
650 4 $a Health Sciences, Health Care Management. $3 1017922
690 $a 0493
690 $a 0569
690 $a 0573
690 $a 0769
710 2 $a University of Nevada, Reno. $b Nursing. $3 2104078
773 0 $t Masters Abstracts International $g 53-02(E).
790 $a 0139
791 $a M.S.N.
792 $a 2014
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=1559712