Reasons for discordance and concordance between POLST orders and current treatment preferences.

ABSTRACT:

Background

The reasons for discordance between advance care planning (ACP) documentation and current preferences are not well understood. The POLST form offers a unique opportunity to learn about the reasons for discordance and concordance that has relevance for POLST as well as ACP generally.

Design

Qualitative descriptive including constant comparative analysis within and across cases.

Setting

Twenty-six nursing facilities in Indiana.

Participants

Residents (n = 36) and surrogate decision-makers of residents without decisional capacity (n = 37).

Measurements

A semi-structured interview guide was used to explore the reasons for discordance or concordance between current preferences and existing POLST forms.

Findings

Reasons for discordance includ

SUBMITTER: Hickman SE 

PROVIDER: S-EPMC8273119 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature