Open AccessThe Role of Regional and State Initiatives in Nursing Home Advance Care Planning Policies
Author(s) -
Caroline J. Fu,
Mansi Agarwal,
Leah Estrada,
Komal Patel Murali,
Denise D. Quigley,
Andrew W. Dick,
Patricia W. Stone
Publication year - 2020
Publication title -
the american journal of hospice and palliative care/the american journal of hospice and palliative care (online)
Language(s) - English
Resource type - Journals
eISSN - 1938-2715
pISSN - 1049-9091
DOI - 10.1177/1049909120970117
Subject(s) - medicine , nursing , advance care planning , nursing homes , state (computer science) , palliative care , algorithm , computer science
Antibiotic use at the end of life (EoL) may introduce physiological as well as psychological stress and be incongruent with patients' goals of care. Advance care planning (ACP) related to antibiotic use at the EoL helps improve goal-concordant care. Many nursing home (NH) residents are seriously ill. Therefore, we aimed to examine whether state and regional ACP initiatives play a role in the presence of "do not administer antibiotics" orders for NH residents at the EoL.