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Journal Article
|Research

Exploring the advance care planning needs of moderately to severely ill people with COPD

Nguyen M, Chambers-Evans J, Joubert A, Drouin I, Ouellet I

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Abstract
BACKGROUND
There is no clear consensus on how to approach advance care planning (ACP) with people with chronic obstructive pulmonary disease (COPD).

AIM
This study aimed to explore the perceived ACP needs of people with COPD and to investigate the usefulness of a DVD in meeting these needs.

METHODS
A qualitative descriptive design was used. Twelve people with moderate to severe COPD were interviewed in an outpatient clinic.

RESULTS
From the themes elicited, a mental model was created to demonstrate how the participants engaged in a process of mental work to accept their own mortality and subsequently engage in ACP.

CONCLUSIONS
Health professionals should not rely solely on illness severity to initiate ACP. Rather, patients from different illness categories should be approached, but with sensitivity to their emotional cues. Participants who were receptive to end-of-life issues enjoyed the DVD. The DVD is a good medium to facilitate discussion, but would be more effective if patients were screened for readiness prior to viewing.

Subject Area

non-communicable disease

Languages

English
DOI
10.12968/ijpn.2013.19.8.389
Published Date
23 Aug 2013
PubMed ID
23970295
Journal
International Journal of Palliative Nursing
Volume | Issue | Pages
Volume 19, Issue 8, Pages 389-395
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Exploring the advance care planning needs of moderately to severely ill people with COPD | Journal Article / Research | MSF Science Portal