Advance end-of-life healthcare planning in an acute NHS hospital setting; development and evaluation of the Expression of Healthcare Preferences (EHP) document

Schiff, Rebekah, Shaw, Rory, Raja, Nadia, Rajkumar, Chakravarthi and Bulpitt, Christopher J (2009) Advance end-of-life healthcare planning in an acute NHS hospital setting; development and evaluation of the Expression of Healthcare Preferences (EHP) document. Age and Ageing, 38 (1). pp. 81-85. ISSN 0002-0729

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Abstract

OBJECTIVE

design and evaluate a document to enable older inpatients in an NHS hospital to discuss and record end-of-life healthcare preferences.

DESIGN

user and professional collaboration to design the Expression of Healthcare Preferences (EHP). Prospective questionnaire survey and outcome evaluation.

SETTING AND PARTICIPANTS

inpatients on wards for older adults in a London NHS Hospital Trust.

RESULTS

the EHP consists of a form and explanatory booklet. 95 patients (mean age 81, median MMSE 28) received the EHP. 61 (64% (54-74%)) read the EHP and 29 (48% (35-61%)) of these recorded their healthcare preferences in the EHP form. The form prompted end-of-life care discussions between 43% (30-57%) of these patients and medical staff and between 52 (38-65) of these patients and "those close to them". The EHP was highly rated: on a score of 1 to 10 it was thought to be helpful (median score 8), interesting (8), informative (8) and reassuring (7) but not upsetting (1).

CONCLUSION

the EHP is an end-of-life advance healthcare planning tool that we have shown can be used to prompt older inpatients to discuss and record their end-of-life healthcare preferences.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Clinical and Experimental Medicine
Subjects: R Medicine > RC Internal medicine > RC0581 Specialties of internal medicine > RC0952 Geriatrics
Depositing User: Simone Breckell
Date Deposited: 01 May 2013 10:43
Last Modified: 01 May 2013 10:43
URI: http://sro.sussex.ac.uk/id/eprint/44567
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