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BMJ Support Palliat Care 3:258-259 doi:10.1136/bmjspcare-2013-000491.86
  • ACPEL abstracts
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CROSS SECTIONAL SURVEY ON ADVANCE CARE PLANNING ACCEPTANCE AND END OF LIFE CARE PREFERENCES AMONG COMMUNITY DWELLING ELDERLY WITH COMPLEX MEDICAL PROBLEMS AND THEIR CARERS

  1. P T Lam4
  1. 1Wong Tai Sin Hospital, Hong Kong, China
  2. 2Princess Margaret Hospital, Hong Kong China
  3. 3Tuen Mun Hospital, Hong Kong, China
  4. 4United Christian Hospital, Hong Kong

Abstract

Background Advance care planning is a useful tool to facilitate families and healthcare providers to understand patient's value system, and to make decision on patient's behalf on the care that considered appropriate when one cannot make decisions.

Advanced Directive (AD), has been in place in HK for more than 10 years, is one of the means to address advance care planning. Two local studies were done among institutionalised older persons on their preference on AD. Little is known on the preference among non-institutionalised older persons.

Aim Primary objective is estimate preference of advance care planning acceptance among community dwelling older persons with multiple medical problems. Secondary objectives are : to estimate end of life care preference as listed and potential factors affecting their choices; whether there is difference in view of older person's choice in comparisons to their next-of-kid

Methods A Multi-centre, cross sectional survey using a structured, interviewer administered questionnaire.

Older persons with age >6, fulfilling the inclusion criteria, who attend Geriatric out-patient clinic or Day Hospital in the study period, and their paired next-of-kin are invited to participate.

Results 4 out of 7 centres have preliminary results available (see table)

Discussion High acceptance of advance care planning in the interviewed patient (78%) and carers (79%).

Marked difference in views are observed in artificial feeding, pain management and use of antibiotic.

Conclusion Further analysis to address the difference observed is planned. Territory wide public education and promotion on advance care planning is needed.

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