October 1, 2018Journal of the American Geriatrics SocietyOpen Access

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

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Why the study?

Does a multidisciplinary preoperative Surgery Wellness Program improve engagement in advance care planning among older adults undergoing surgery?

Structured PICO

Does a multidisciplinary preoperative Surgery Wellness Program improve engagement in advance care planning among older adults undergoing surgery?

Population

131 older adults participating in a preoperative optimization program (Surgery Wellness Program) at a 796-bed academic tertiary hospital from February 2015 to August 2017.

Intervention

Surgery Wellness Program (SWP) including a semistructured advance care planning (ACP) discussion with a geriatrician and regular follow-up calls from health coaches (trained medical and nurse practitioner students).

Comparator

Pre-participation baseline (before and after comparison)

Outcome

Engagement in advance care planning (designated surrogate, completed advance directive, and advance directive scanned into the medical record)

A multidisciplinary preoperative optimization program significantly increases engagement in and documentation of advance care planning among older adults awaiting surgery.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

May facilitate ACP in older surgical patients; hypothesis-generating and requires prospective validation before practice change.

Cite This Study

Kata et al. (2018) studied this question.

synapsesocial.com/papers/6a91b0f4b18877c9fe935cdc https://doi.org/10.1111/jgs.15554

View Full Paper

Ask AI

Bookmark

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

Structured PICO

Discussion

Implication

Cite This Study

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

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider