The design and conduct of a pragmatic cluster randomized trial of an advance care planning program for nursing home residents with dementia.

ABSTRACT:

Background/aims

A significant number of people with Alzheimer's disease or related dementia diagnoses will be cared for in nursing homes near the end of life. Advance care planning (ACP), the process of eliciting and documenting patient-centered preferences for care, is considered essential to providing high quality care for this population. Nursing homes are currently required by regulations to offer ACP to residents and families, but no training requirements exist for nursing home staff, and approaches to fulfilling this regulatory and ethical responsibility vary. As a result, residents may receive care inconsistent with their goals, such as unwanted hospitalizations. Pragmatic trials offer a way to develop and test ACP in real-world settings to increase the likelihood of adoptio

SUBMITTER: Hickman SE 

PROVIDER: S-EPMC9691516 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature