Session: PREPARED: Preparing Residents for End-of-Life Plans and Respecting End-of-Life Decisions (NHPCO's 12th Clinical Team Conference and Pediatric Intensive)

Friday, October 7, 2011: 3:00 PM-4:00 PM

Primary Presenter:

Catherine McGregor, RN, MSN, FNS, C

Co-Presenter:

Judy Citko, JD

Area of Emphasis: Access and Outreach
Learning Objectives:
1. Develop an initiative to engage a hospital/SNF to enhance advance care planning strategies to reduce terminal hospitalizations
2. Define advance care planning and apply strategies to engage residents/family members
3. Complete a coherent POLST that reflects resident preferences for end of-life care

The PREPARED Project (Preparing Residents for End of life Plans And Respecting End-of-life Decisions) was a 2-year collaboration of three hospital systems and 18 nursing homes in the Sacramento, California region designed to increase advance care planning processes with the goal of preventing terminal hospitalizations among nursing home residents. A multifaceted curriculum was delivered to nursing home staff that included communication, cultural issues and advance care planning. A by-product of this intervention was the increased utilization of the Physician Orders for Life Sustaining Treatment (POLST), designed to improve communication of residents' end-of-life preferences between health care settings.

See more of: 60-minute session

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