Outcomes of Advance Care Planning in Dementia Patients Receiving Palliative Care

Authors

  • Rattanaporn Siriket Palliative Nursing unit, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University
  • Teerasak Ngamsit Palliative Nursing unit, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University
  • Rattanawadi Buabanbut Palliative Nursing unit, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University
  • Parichart Piasupun Palliative Nursing unit, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University
  • Srivieng Pairojkul Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khonkaen University.

Keywords:

advance care plan, dementia, palliative care

Abstract

Background and Objectives: Dementia is fatal disease and becomes burden due to increased elderly population. Karunruk Palliative Care Center has established a care program for late-stage dementia. Family education on disease trajectory and established advance care plan (ACP)  

 Methods: A retrospective descriptive study of medical records, care records. Profiles of 65 patients recruited from October 1, 2020 to September 30, 2022. Descriptive statistic, mean, percentage, were used for data analysis.

Results: Only 7/65 (10.76%) had an ACP before referral. All patients in our program had an ACP. Place of death of 30 patients were 43.33% at home, 43.33% at Palliative unit, 3.34 % at medical ward, and 3.34% at nursing home.

Conclusion: The patient preferences in our program were well respected.

References

Mota-Romero E, Esteban-Burgos AA, Puente-Fernández D, Garcia-Caro MP, Hueso-Montoro C, Herrero-Hahn RM, et al. Nursing Homes End of Life care Program (NUHELP): developing a complex intervention. BMC Palliative Care 2020;20(1):98. doi.org/10.1186/s12904-021-00788-1.

World Health Organization. Palliative care Geneva: World Health Organization . [cited January 9, 2018]. Available from: https://www.who.int/news-room fact-sheets/detail/palliative-care, 2018.

World Health Organization. The epidemiology and impact of dementia current state and future trends. Geneva: World Health Organization, 2015.

Ersek M, Joan G. Carpenter. Geriatric Palliative Care in Long-Term Care Settings with a Focus, 2013.

Puengrasamee T. Advance care plan | face project peaceful death.

.[Internet]. www.budnet.org. [cited August 9, 2020]. Available from: http://www.budnet.org/sunset/node/213

Government Gazette, Volume 137, Special Section 261 Ngor. Announcement of the National Health Commission on Operational definition of terms related to On palliative care (Palliative care) for Thailand B.E. 2563 .[Internet]. [cited December 28, 2020]. Available from: http://www.ratchakitcha.soc.go.th/DATA/PDF /2563/E/261/T_0003.PDF

Jethwa KD, Onalaja O. Advance care planning and palliative medicine in advanced dementia: a literature review. BJPsych Bull 2015;39(2):74–8. Doi.org/10.1192/pb.bp.114.046896.

Institute for Population and Social Research Mahidol University. Report on the Situation of the Thai Elderly 2015.Bangkok: Amarin Printing and Publishing Company, 2016.

Srihaphak S, Amornrojvorawut W, Kham-on N, Sriot P, Srihanu P, Tubsay T. Problem situation and the need for long-term care for the elderly in the community under Long Term Care System Fund Khon Kaen Province. J Health Cent 9 2021;15(36): 52-3.

McCarthy M, Addington-Hall J, Altmann D. The experience of dying with dementia: A retrospective study. Int J Geriatr Psychiatry 1997;12(3):404–9.

Mitchell SL, Teno JM, Kiely DK, Schafer ML, Jones RN, Prigerson HG, et al. The clinical course of advanced dementia. N Engl J Med 2009;361(16):1529–38.

Sritharathikhun P, Netiphumkul S. Effects of advance care planning on care in The last days of life in a palliative care clinic Mae Sot Hospital, Tak Province. PCFM 2021;4(1):97-111.

Karunruk Palliative Care Statistics Srinagarind Hospital. Statistical Center Annual Report.

Srinagarind Hospital Faculty of Medicine Khon Kaen University, 2019.

Allyn YM Hum, Huei Yaw Wu, Noorhazlina Binte Ali, Ian YO Leong, Jing Jih Chin, Angel OK Lee, et al. The dignity in advanced dementia (diadem) study: Developing an integrated geriatric palliative homecare program. Progress in Palliative Care 2018;26(2):65-72.

Kunsongkeit W. Good mortality according to the perception of patient family members. Journal of the Faculty of Nursing Burapha University 2015;23(3):41-55.

Published

2023-10-26

How to Cite

1.
Siriket R, Ngamsit T, Buabanbut R, Piasupun P, Pairojkul S. Outcomes of Advance Care Planning in Dementia Patients Receiving Palliative Care. SRIMEDJ [Internet]. 2023 Oct. 26 [cited 2024 Jun. 15];38(5):499-506. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/257788

Issue

Section

Original Articles