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Utilization Of Remap Conversation Tool To Improve Advance Care Completion In The Home-Based Palliative Care Community Setting, Gwendolyn Starkey

Doctor of Nursing Practice Projects

Background: The World Health Organization and the American Society of Clinical Oncology guidelines endorses mandatory communication skills training in care goals for seriously ill patients (Back et al., 2019). In one survey of primary care providers (PCP), 68% reported no formal training to discuss advance care planning (Comer et al., 2020). Advance care planning is essential to manage chronic conditions in our growing aging population to provide the best patient care. This manuscript aimed to discuss best practices and techniques in advance care planning and optimize skills to provide patient-centered care conversations that honor patient wishes, reduce unwanted hospitalizations, and …

Using Nurse Education To Promote Advance Care Planning For Memory Care Residents Affected By Dementia: A Pilot Project, Janelle S. Thoreson

Doctor of Nursing Practice Projects

Background: Advance care planning (ACP) can help with end-of-life goals-of-care identification and timely hospice enrollment for individuals affected by dementia. Known barriers to effective ACP include nurse knowledge and confidence deficits. Evidence from an academic literature review suggests that providing dedicated ACP education can foster effective nurse-led ACP conversations.

Objectives: Increase the number individuals affected by dementia having documented nurse-led ACP conversations, nurse knowledge and confidence with ACP, and appropriate hospice utilization. Setting/Participants: Eight nurses from three memory care facilities within a Midwestern United States (U.S.) senior housing organization.

Methods: An educational module regarding ACP in dementia care was created …