Tools
Tools
Schiff, Rebekah, Shaw, Rory, Raja, Nadia, Rajkumar, Chakravarthi and Bulpitt, Christopher J (2009) Advance end-of-life healthcare planning in an acute NHS hospital setting; development and evaluation of the Expression of Healthcare Preferences (EHP) document. Age and Ageing, 38 (1). pp. 81-85. ISSN 0002-0729
Full text not available from this repository.Abstract
OBJECTIVE
design and evaluate a document to enable older inpatients in an NHS hospital to discuss and record end-of-life healthcare preferences.
DESIGN
user and professional collaboration to design the Expression of Healthcare Preferences (EHP). Prospective questionnaire survey and outcome evaluation.
SETTING AND PARTICIPANTS
inpatients on wards for older adults in a London NHS Hospital Trust.
RESULTS
the EHP consists of a form and explanatory booklet. 95 patients (mean age 81, median MMSE 28) received the EHP. 61 (64% (54-74%)) read the EHP and 29 (48% (35-61%)) of these recorded their healthcare preferences in the EHP form. The form prompted end-of-life care discussions between 43% (30-57%) of these patients and medical staff and between 52 (38-65) of these patients and "those close to them". The EHP was highly rated: on a score of 1 to 10 it was thought to be helpful (median score 8), interesting (8), informative (8) and reassuring (7) but not upsetting (1).
CONCLUSION
the EHP is an end-of-life advance healthcare planning tool that we have shown can be used to prompt older inpatients to discuss and record their end-of-life healthcare preferences.
| Item Type: | Article |
|---|---|
| Schools and Departments: | Brighton and Sussex Medical School > Clinical and Experimental Medicine |
| Subjects: | R Medicine > RC Internal medicine > RC0581 Specialties of internal medicine > RC0952 Geriatrics |
| Depositing User: | Simone Breckell |
| Date Deposited: | 01 May 2013 10:43 |
| Last Modified: | 01 May 2013 10:43 |
| URI: | http://srodev.sussex.ac.uk/id/eprint/44567 |