ASSESSING FAMILY CARE CONFERENCES IN LONG-TERM CARE: LESSONS LEARNED FROM CONTENT ANALYSIS

Durepos, PM; Kaasalainen, S; Tamara, S; Ploeg, J; Parker, D; Brazil, K; Papaioannou, A

ASSESSING FAMILY CARE CONFERENCES IN LONG-TERM CARE: LESSONS LEARNED FROM CONTENT ANALYSIS

Durepos, PM Kaasalainen, S Tamara, S Ploeg, J Parker, D

Brazil, K Papaioannou, A

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Publisher:: Oxford University Press
Publication Type:: Conference Proceeding
Citation:: Innovation in Aging, 2017, 1 (suppl_1), pp. 254 - 255
Issue Date:: 2017-07

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Field	Value	Language
dc.contributor.author	Durepos, PM	en_US
dc.contributor.author	Kaasalainen, S	en_US
dc.contributor.author	Tamara, S	en_US
dc.contributor.author	Ploeg, J	en_US
dc.contributor.author	Parker, D https://orcid.org/0000-0003-2552-8613	en_US
dc.contributor.author	Brazil, K	en_US
dc.contributor.author	Papaioannou, A	en_US
dc.date.available	2020-05-25T19:05:21Z
dc.date.issued	2017-07	en_US
dc.identifier.citation	Innovation in Aging, 2017, 1 (suppl_1), pp. 254 - 255	en_US
dc.identifier.uri	http://hdl.handle.net/10453/115826
dc.description.abstract	End-of-life (EOL) communication in long-term care (LTC) is often inadequate and delayed, leaving residents dying with unknown preferences or goals of care. Poor communication with staff contributes to families feeling unprepared, distressed and unsatisfied negatively effecting bereavement. Family Care Conferences (FCC) aim to increase structured, systematic communication around goals and plans for EOL. FCCs were implemented as part of the ‘Strengthening a Palliative Approach to Care’ (SPA-LTC) project in four LTC sites in Ontario, Canada. The purpose of this sub-study is to evaluate: a) content, b) processes, and c) interdisciplinary engagement using mixed methods. Twenty-four FCCs were held for residents with a Palliative Performance Scale of 40% (nearing death) considered appropriate by staff. Data was collected from FCC forms (i.e., Family Questionnaires, Conference Summaries) and electronic charts. Through directed-analysis, data was analyzed using the Canadian Hospice Palliative Care Association’s ‘Square of Care’ model which includes eight domains of care: Disease Management, Physical, Psychological, Social, Practical, Spiritual, EOL, and Loss/Bereavement. Findings showed on average each FCC documented 66% of domains with physical and EOL care domains being used the most, and content about loss/bereavement documented the least. Use of FCC hard copy forms had benefits over standard electronic charts including: higher proportion of goals, timely completion, category for end-of-life care and accessibility. FCCs were attended by an average of three disciplines prompting holistic content although Personal Support Workers (PSW) and physicians attended minimally. Implications to optimize FCCs include tailoring use of FCCs forms, prompting bereavement discussion, furthering engagement of PSWs and physicians.	en_US
dc.publisher	Oxford University Press	en_US
dc.relation.ispartof	Innovation in Aging	en_US
dc.relation.isbasedon	10.1093/geroni/igx004.935	en_US
dc.title	ASSESSING FAMILY CARE CONFERENCES IN LONG-TERM CARE: LESSONS LEARNED FROM CONTENT ANALYSIS	en_US
dc.type	Conference Proceeding
utslib.citation.volume	suppl_1	en_US
utslib.citation.volume	1	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.consider-herdc	false	en_US
pubs.issue	suppl_1	en_US
pubs.publication-status	Published	en_US
pubs.volume	1	en_US

Abstract:

End-of-life (EOL) communication in long-term care (LTC) is often inadequate and delayed, leaving residents dying with unknown preferences or goals of care. Poor communication with staff contributes to families feeling unprepared, distressed and unsatisfied negatively effecting bereavement. Family Care Conferences (FCC) aim to increase structured, systematic communication around goals and plans for EOL. FCCs were implemented as part of the ‘Strengthening a Palliative Approach to Care’ (SPA-LTC) project in four LTC sites in Ontario, Canada. The purpose of this sub-study is to evaluate: a) content, b) processes, and c) interdisciplinary engagement using mixed methods. Twenty-four FCCs were held for residents with a Palliative Performance Scale of 40% (nearing death) considered appropriate by staff. Data was collected from FCC forms (i.e., Family Questionnaires, Conference Summaries) and electronic charts. Through directed-analysis, data was analyzed using the Canadian Hospice Palliative Care Association’s ‘Square of Care’ model which includes eight domains of care: Disease Management, Physical, Psychological, Social, Practical, Spiritual, EOL, and Loss/Bereavement. Findings showed on average each FCC documented 66% of domains with physical and EOL care domains being used the most, and content about loss/bereavement documented the least. Use of FCC hard copy forms had benefits over standard electronic charts including: higher proportion of goals, timely completion, category for end-of-life care and accessibility. FCCs were attended by an average of three disciplines prompting holistic content although Personal Support Workers (PSW) and physicians attended minimally. Implications to optimize FCCs include tailoring use of FCCs forms, prompting bereavement discussion, furthering engagement of PSWs and physicians.

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http://hdl.handle.net/10453/115826