Increasing Advance Care Planning Using a Surgical Optimization Program for Older Adults.

ABSTRACT:

Objectives

To describe an innovative model of care, the Surgery Wellness Program (SWP), that uses a multidisciplinary team to develop and implement preoperative care plans for older adults, and its effect on engagement in advance care planning (ACP).

Design

Retrospective analysis of clinical demonstration project.

Setting

Preoperative optimization program for older adults undergoing surgery at a 796-bed academic tertiary hospital.

Participants

Older adults (N=131) who participated in the SWP from February 2015 to August 2017.

Intervention

All SWP participants met with a geriatrician who engaged them in a semistructured ACP discussion. Trained medical and nurse practitioner students were used as health coaches who contacted participants regularly to addre

SUBMITTER: Kata A 

PROVIDER: S-EPMC6181775 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature