The Role of Regional and State Initiatives in Nursing Home Advance Care Planning Policies | Zendy

Caroline J. Fu | Zendy; Mansi Agarwal | Zendy; Leah V. Estrada | Zendy; Komal Patel Murali | Zendy; Denise D. Quigley | Zendy; Andrew W. Dick | Zendy; Patricia W. Stone | Zendy

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The Role of Regional and State Initiatives in Nursing Home Advance Care Planning Policies

Author(s) -

Caroline J. Fu,

Mansi Agarwal,

Leah V. Estrada,

Komal Patel Murali,

Denise D. Quigley,

Andrew W. Dick,

Patricia W. Stone

Publication year - 2020

Publication title -

american journal of hospice and palliative medicine®

Language(s) - English

Resource type - Journals

eISSN - 1938-2715

pISSN - 1049-9091

DOI - 10.1177/1049909120970117

Subject(s) - nursing homes , nursing , advance care planning , state (computer science) , business , public administration , political science , medicine , palliative care , computer science , algorithm

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.

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