A narrative review of facilitating and inhibiting factors in advance care planning initiation in people with dementia.

ABSTRACT:

Purpose of the review

To identify and assess factors that affect the decisions to initiate advance care planning (ACP) amongst people living with dementia (PwD).

Methods

A narrative review was conducted. A keyword search of Medline, CINAHL PsycINFO, and Web of Sciences databases produced 22,234 articles. Four reviewers independently applying inclusion/exclusion criteria resulted in 39 articles. Discrepancies were settled in discussion.

Results

Twenty-eight primary studies and eleven review articles remained. Narrative analysis generated five categories of facilitating and inhibitory factors: people with dementia, family orientation, healthcare professionals (HCP), systemic and contextual factors, and time factors. Key facilitators of ACP initiation were (i) healthcare

SUBMITTER: Phenwan T 

PROVIDER: S-EPMC7280342 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature