RT Journal Article
SR Electronic
T1 Anticipatory care planning for older adults: a trans-jurisdictional feasibility study
JF British Journal of General Practice
JO Br J Gen Pract
FD British Journal of General Practice
SP bjgp20X711197
DO 10.3399/bjgp20X711197
VO 70
IS suppl 1
A1 Corry, Dagmar
A1 Doherty, Julie
A1 McCann, Adrienne
A1 Doyle, Frank
A1 Cardwell, Christopher
A1 Carter, Gillian
A1 Clarke, Mike
A1 Fahey, Tom
A1 Gillespie, Paddy
A1 McGlade, Kieran
A1 O’Halloran, Peter
A1 Wallace, Emma
A1 Brazil, Kevin
YR 2020
UL http://bjgp.org/content/70/suppl_1/bjgp20X711197.abstract
AB Background As the population of older adults’ increases, the complexity of care required to support those who choose to remain in the community has also increased. Anticipatory Care Planning (ACP) through earlier identification of healthcare needs is evidenced to improve quality of life, decrease the number of aggressive futile interventions, and even to prolong life.Aim To determine the feasibility of a cluster randomised trial to evaluate the implementation and outcomes of Anticipatory Care Planning (ACP) in primary care to assist older adults identified as at risk for functional decline by developing a personalised support plan.Method GP practices were randomised into control/intervention groups stratified by jurisdiction [Northern Ireland (UK) and the Republic of Ireland (RoI)], and by setting (urban and rural). Participants were included if they were a) aged ≥70 years, b) 2 or more chronic medical conditions, c) 4 or more prescribed medications. The Anticipatory Care Plan consisted of home visits where the study nurse discussed patients’ goals and plans. An action plan was put in place following consultation with patient’s GPs and study Pharmacist.Results Eight primary care practices participated; four in the UK and four in the RoI. Sample n = 64. Data was collected pertaining to patient quality of life, mental health, healthcare utilisation, costs, perception of person-centred care, and the use of potentially inappropriate medication.Conclusion Unique insights relating to the trans-jurisdictional delivery of healthcare services in the UK and RoI were observed which has implications on service delivery for older adults.