PT  - JOURNAL ARTICLE
AU  - Tamsin McGlinchey
AU  - Philip Saltmarsh
AU  - Rebecca Bancroft
AU  - Stephen Mason
AU  - Gerard Corcoran
AU  - John Ellershaw
TI  - ANTICIPATORY CARE PLANNING: UNDERSTANDING THE IMPACT THAT TALKING ABOUT PLANNING FOR FUTURE CARE HAS ON RELATIVES/FRIENDS OF CARE HOME RESIDENTS
AID  - 10.1136/bmjspcare-2014-000654.46
DP  - 2014 Mar 01
TA  - BMJ Supportive & Palliative Care
PG  - A17--A17
VI  - 4
IP  - Suppl 1
4099  - http://spcare.bmj.com/content/4/Suppl_1/A17.2.short
4100  - http://spcare.bmj.com/content/4/Suppl_1/A17.2.full
SO  - BMJ Support Palliat Care2014 Mar 01; 4
AB  - Background Advance Care Planning (ACP) has become increasingly important in terms of its perceived role in improving care planning for people nearing End of Life (EOL). ACP can enable people to die in their place of choice, coordinate care, reduce unnecessary hospital admissions and burdensome interventions. Research is needed to inform our understanding of how ACP works in practice. Accordingly, a two phased study is currently engaged in the Care Home setting, which seeks to: Develop a consensual process for ACP Assess the impact that ACP discussions have on all participants; residents, relatives/friends and healthcare professionals. Findings from phase 1 of the study indicated that existing definitions of ACP are complex, and understanding was varied. A recommendation for this study was that the term Anticipatory Care Planning (AnCP) would be used to describe the planning process. Phase 2 of this project is now underway. Aim(s) To examine the lived experience of relative/friends, who have been engaged in conversations about AnCP, for residents living in care homes. Method(s) Interpretive phenomenology underpin the research methods employed; In-depth semi-structured interviews with residents (where possible) and relatives/friends of care home residents, are being undertaken using a longitudinal case study design: Initial interview after first AnCP discussion Follow up interview(s) at 3 monthly intervals throughout the study period Post bereavement interview with relative/friends and healthcare professionals. Results Qualitative data derived from the interviews will be discussed under the following emerging themes: Timing and content of discussions Emotional impact of engaging in discussions Confidence in care delivery in care home setting Conclusion(s) Conclusions will inform the ongoing debate and understanding around the broader concept of Advance Care Planning, and also the impact that these types of discussions may have on residents and their relatives/friends.