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Advance end-of-life healthcare planning in an acute NHS hospital setting; development and evaluation of the Expression of Healthcare Preferences (EHP) document

journal contribution
posted on 2023-06-08, 14:50 authored by Rebekah Schiff, Rory Shaw, Nadia Raja, Chakravarthi RajkumarChakravarthi Rajkumar, Christopher J Bulpitt
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.

History

Publication status

  • Published

Journal

Age and Ageing

ISSN

0002-0729

Publisher

Oxford University Press

Issue

1

Volume

38

Page range

81-85

Department affiliated with

  • Clinical and Experimental Medicine Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2013-05-01

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    University of Sussex (Publications)

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