Which moral barriers and facilitators do physicians encounter in advance care planning conversations about the end of life of persons with dementia? A meta-review of systematic reviews and primary studies.

ABSTRACT:

Importance and objective

Conducting advance care planning (ACP) conversations with people with dementia and their relatives contributes to providing care according to their preferences. In this review, we identify moral considerations which may hinder or facilitate physicians in conducting ACP in dementia.

Design

For this meta-review of systematic reviews and primary studies, we searched the PubMed, Web of Science and PsycINFO databases between 2005 and 30 August 2019. We included empirical studies concerning physicians' moral barriers and facilitators of conversations about end-of-life preferences in dementia care. The protocol was registered at Prospero (CRD42019123308).

Setting and participants

Physicians and nurse practitioners providing medical care to people wit

SUBMITTER: Keijzer-van Laarhoven AJ 

PROVIDER: S-EPMC7662455 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature